The Foot in Diabetes - part 2 ppsx

... of Diabetes Prevalence (%) Reference Population-based studies 17 (UK) 811 2 41.6 17 18 (Finland) 133 2 8.3 a 41.9 b 18 Clinic-based studies 19 (UK) 6487 1 ,2 28.5 19 20 (Europe) 325 0 1 28 .0 20 21 (Spain) 26 44 1 ,2 22. 7 21 a At diagnosis. b After ... that the pressure under toe 2 and the hallux are approximately equal. The foot is shown in (b) (a) Foot Biomecha...

Ngày tải lên: 10/08/2014, 18:21

... 21 9 20 , 22 4±30 choice of conduit 22 8±9 emergency 22 4±5 infra-inguinal reconstruction 22 6±8, 22 7, 22 9±30 planning 22 5±30, 22 5 plastic surgery 23 0 2 free tissue transfer 23 1 2 split-skin grafting ... disease 22 2±3 Charcot foot 23 5±58 acute stage 23 8 atrophy in 24 2±3, 24 4 chronic stage 23 8±9 clinical features 23 9±41, 24 2 diagnostic studies 24 6 hyper...

Ngày tải lên: 10/08/2014, 18:21

... training. Residences vary in duration from 1 to 3 years, with those receiving shorter training typically concentrating on non-surgical therapy. Beyond this residency training, The Foot in Diabetes, ... in the index group who were not de®ned as at high risk continued to receive standard care in the routine clinic. At 2 year follow-up there was a signi®cant reduction in maj...

Ngày tải lên: 10/08/2014, 18:21

... accept their diagnosis; (b) minimize the 124 The Foot in Diabetes room in the toe area and over the instep'' 4 . This chapter will describe the evidence-base for the use of diabetic footwear ... The Foot in Diabetes patient, the nature of the illness, and the clinician. There is enough ambiguity in the entire picture of denial to suggest that t...

Ngày tải lên: 10/08/2014, 18:21

... 11.44; 95% CI 3 .28 ±39. 92) . Glycyl- L-histidine-L-lysine±Copper (GHK±Cu) Gel The peptide complex glycyl- L-histidine-L-lysine±copper (Iamin Gel) is thought to be a modulator of wound healing and has ... I 1 ,63+13; I 2 , 62+ 18 Treated with insulin: I 1 , 17 /22 ; I 2 , 18 /22 Mean duration of diabetes+ SD (years): I 1 ,22 +15; I 2 ,19+ 12 Mean ulcer area (range) (cm 2 ): I 1...

Ngày tải lên: 10/08/2014, 18:21

... imaging in infection. A transverse image taken through the heads of the metatarsals. The head of the ®fth metatarsal gives a very high-intensity signal, indicating infection the limits of the infection, ... 159: 20 1±8. 22 . Johnston W. Iliac arteries: re-analysis of results of balloon angioplasty. Radiology 1993; 186: 20 7± 12. 21 2 The Foot in Diabetes At the pre...

Ngày tải lên: 10/08/2014, 18:21

... Risk 1995; 2: 467±9. 23 4 The Foot in Diabetes The relative sparing of foot vessels from the atherosclerotic process in diabetes makes femoropedal surgery a relatively frequent option in reconstruction. Choice ... ``osteopathy'' 22 . In addition to classic neuro-arthropathy, the main conditions Newman found included osteoporosis, new bone 24 4 The Foo...

Ngày tải lên: 10/08/2014, 18:21

... stiffness, but some ¯attening will occur. The insole in Figure 18.9 shows the position of the weight-relieving window and the actual position of the metatarsal head. 27 0 The Foot in Diabetes accomplished ... weekly. In the case of closed wounds, the 28 2 The Foot in Diabetes of the moving centre of plantar pressure during stance had shifted from the se...

Ngày tải lên: 10/08/2014, 18:21

... Practical Guidelines on the Diabetic Foot KAREL BAKKER* International Working Group on the Diabetic Foot, Amsterdam, The Netherlands THE NEED FOR A CONSENSUS Many disciplines are involved in the care ... International Working Group on the Diabetic Foot. THE INTERNATIONAL WORKING GROUP ON THE DIABETIC FOOT The 15 members of the Working Group met in January 1997 to...

Ngày tải lên: 10/08/2014, 18:21

... 355 3 42 The Foot in Diabetes 340 The Foot in Diabetes International Consensus and Practical Guidelines 343 In Chapter 1, Ward reminds us that the problems posed by diabetic foot disease in wealthy ... follow-up intervals and on the 364 The Foot in Diabetes 336 The Foot in Diabetes universal criteria for what constitutes healing or cure. For example,...

Ngày tải lên: 10/08/2014, 18:21