... 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, ... bacteria in the alimentary
tract of surgical maggots implanted in infected wounds. J Lab Clin Med 1934;19:
581 6.
190 The Foot in Diabetes
cleanse wounds in...
... 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, ... to
orthotic services in different parts of the country.
In the UK the various agencies involved in the provision of diabetic foot
care services (Table 6a.2) used to wor...
... tarsometatarsal
(Figure 17 .6) . These changes are consistent with the underlying pathogen-
esis and vascular re¯ex theory of the disease, in which the precipitating
insult to the joint results in a compensatory ... for the treatment of the neuro-arthropathic foot are outlined in
Table 17.5.
Acute Stage
Prevention of further trauma is the primary goal in treating the...
... patient's mobility during this
46 The Foot in Diabetes
Table 4.3 The 2-minute foot examination. This follows on from the examination in
Table 4.2 if the patient has previous foot problems, has lost ... Sons, Inc.
ISBNs: 0-4 7 1-4 897 4-3 (Hardback); 0-4 7 0-8 463 9-9 (Electronic)
since most studies have measured barefoot pressure, the footwear chosen
b...
... 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 ... D Barefoot walking 510%
15 Oxford shoe leather-
soled, running shoe,
extra-depth shoe
+cork/PPT
custom inlay
Barefoot walking 0% leather-soled
shoe, 35% run-
ning shoe, 0...
... Chalmers I. The Cochrane Collaboration: preparing, maintaining, and
disseminating systematic reviews of the effects of health care. Ann NY Acad
Sci 1993; 703: 1 56 65 .
168 The Foot in Diabetes
The decision ... 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...
... the majority of toes are still present, then
266 The Foot in Diabetes
Figure 18.4 X-ray showing deformed forefoot with dislocated toes and previous
partial ray amputation
only narrowing the foot, ... 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.
270...
... 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...
... follow-up intervals and on the
364 The Foot in Diabetes
3 36 The Foot in Diabetes
universal criteria for what constitutes healing or cure. For example,
calculating ``wound-free time'' during ... 355
342 The Foot in Diabetes
340 The Foot in Diabetes
International Consensus and Practical Guidelines 343
In Chapter 1, Ward reminds us that the probl...