... patients with diabeticfootinfectionsFoot Ankle Int 1998; 19: 38–40 Mueller-Buehl U, Diehm C, Gutzler F, Adam D Tissue concentrations of ofloxacin in necrotic foot lesions ofdiabetic and non -diabetic ... deeper insight into diabeticfoot care? J Foot Ankle Surg 2006; 45:375–9 270 Jones V Debridement ofdiabeticfoot lesions The DiabeticFoot 1998; 1:88–94 271 Rauwerda JA Foot debridement: anatomic ... management of diabetes-related foot ulceration: a pilot study Adv Skin Wound Care 2004; 17:232–8 Aragon-Sanchez J Seminar review: a review of the basis of surgical treatment ofdiabeticfoot infections...
... joint [8] This classification system consists of stages (Table 1) and combines intraarticular findings of the soft tissues as well as radiological alterations of the infected joint Infections classified ... requires open revision surgery Table 1: Arthroscopic classificationof joint infections according to Gächter [8] Stage I opacity of fluid, redness of the synovial membrane, possible petechial bleeding, ... the Cierny classification system for osteomyelitis in adult patients [4] also for the classificationof periprosthetic total joint infections [3] In this system, prosthetic joint infections are...
... Preventing complications of diabetes, especially improving awareness ofDiabetic foot, studying methods of prevention and treatment are very important Key words: Diabetic foot, clinical study , ... modality of treatment for diabeticfoot in Institute of Traditional medicine in Hochiminh City Method: Aspect of basic theory: Collecting and summarizing Western and Chinese medicine documents in diabetic ... pattern identification ofdiabetic foot, making progress to perfect clinical syndrome differentiation and treatment for diabetic foot, thenceforward dignifying knowledge of traditional Chinese...
... Atlas of the DiabeticFoot Professor Nicholas Katsilambros, MD Director of the 1st Department of Propaedeutic Medicine and the Diabetic Centre Athens University Medical ... Chapter VIII Infections Chapter IX Neuro-Osteoarthropathy The Charcot Foot vii ix 23 41 73 85 105 125 151 185 Appendix Anatomy of the Foot Appendix Manufacturers of Preventive and Therapeutic Footwear ... specialists in infectious diseases or orthopedics or as scholars in the field of diabetes and the diabeticfoot Atlas of the DiabeticFoot N Katsilambros, E Dounis, P Tsapogas and N Tentolouris Copyright...
... PATIENTS IN APPROPRIATE FOOT CARE Education of patients who are at risk of developing foot ulceration is the cornerstone of disease management Patients 32 Atlas of the DiabeticFoot should fully understand ... treatment of neuropathic ulcers with promising results Keywords: Classification offoot ulcers; Meggitt–Wagner classification offoot ulcers; ‘The University of Texas classification system for diabeticfoot ... The DiabeticFoot (6th edn) St Louis: Mosby, 2001; 273–282 Macfarlane RF, Jeffcoate WJ Classification offoot ulcers: The S(SAD)SAD system DiabeticFoot 1999; 2: 123–131 40 Atlas of the Diabetic...
... Atlas of the DiabeticFoot Figure 3.31 Photograph of the foot shown in Figures 3.28–3.30 months after arthrodesis of the first metatarsophalangeal joint and second ray amputation Note the absence of ... the arch of the foot is higher than normal (pes cavus) claw toes often develop In cavus foot the forefoot, and especially the first ray, is drawn downwards and an abnormal distribution of plantar ... and hemorrhagic calluses of the second and third toes were also present A hammer deformity was seen on the second toe of her right foot Protective 48 Atlas of the DiabeticFoot Figure 3.8 Curly...
... the lateral aspect of the footof a diabetic patient The design of the excision and the recipient vessels are indicated (Courtesy of O Papadopoulos) 82 Atlas of the DiabeticFoot Figure 4.14 Free ... excision of a dermatofibrosarcoma protuberans of heel Patient of Figure 4.15 (Courtesy of O Papadopoulos) Figure 4.15 Ulceration of recurrent dermatofibrosarcoma protuberans of the heel of a diabetic ... (on the right foot at the age of 66 years and on the left foot at the age of 68 years) because Anatomical Risk Factors for DiabeticFoot Ulceration of infected foot ulcers under the metatarsal...
... Atlas of the DiabeticFoot Figure 5.23 Plain radiograph of the right footof the patient whose foot is shown in Figure 5.21 Osteomyelitis of the fifth metatarsal head and the proximal phalanx of ... 5.19 Hindfoot shown in Figure 5.17 after the ulcer has completely healed Figure 5.18 Commercially available heel-free shoes for the treatment of hindfoot ulcers 98 Atlas of the DiabeticFoot Figure ... ULCERS OVER A CHARCOT FOOT The following two figures (before and after debridement) show the left footof a male patient of 62 years of age with type diabetes diagnosed at the age of 48 years and treated...
... whose foot is shown in Figure 6.14 The yellowish appearance of the bed of the ulcer is indicative of ischemia 116 Atlas of the DiabeticFootof 55 years, was referred to the outpatient diabeticfoot ... age of 42 years and being treated with sulfonylureas, was referred to the outpatient diabeticfoot clinic 134 Atlas of the DiabeticFoot Figure 7.9 Digital subtraction angiography of the foot ... gangrene of the distal areas of the toes of the right foot The well-demarcated red area extending up to the ankle and the lateral foot indicates ischemic necrosis of the skin (Courtesy of E Bastounis)...
... Atlas of the DiabeticFoot pathogens that colonize the skin ofdiabetic patients, are the causative agents of acute infections in antibiotic-na¨ve patients, ı and are nearly always the cause of ... gangrene of the right foot Redness and edema due to infection extends as far as the lower third of the tibia (Courtesy of E Bastounis) Gangrene 145 Figure 7.24 Wet gangrene of midfoot and forefoot ... complained of pain in his right foot when he was at rest, weeks prior to 144 Atlas of the DiabeticFoot Figure 7.21 Wet gangrene of the last two toes An infected area of ischemic necrosis is also...
... and severe neuropathy 162 Atlas of the DiabeticFoot Figure 8.10 Deep tissue infection of the foot following web space mycosis Redness and edema of the whole foot with pustules on the dorsum ... patient with type diabetes mellitus since the age of 40 years attended the diabeticfoot clinic because of a large ulcer of the sole of her left foot She was being treated with insulin resulting ... ulcer after month of chiropody treatment Healthy granulated tissue covers the bed of the ulcer 166 Atlas of the DiabeticFoot Figure 8.16 Left neuro-osteoarthropathic footof the patient whose...
... resorption of phalanges and 190 Atlas of the DiabeticFoot Figure 9.2 Radiograph of acute neuro-osteoarthropathy showing osteolytic destruction of the third and fourth metatarsal heads, widening of the ... collapse of the midfoot A minimal (of a few millimeters) lateral deviation or a fracture of the base of the second metatarsal may be an early sign of acute neuro-osteoarthropathy If the foot is ... of 46 years and acceptable diabetes control (HBA1c : 7.4%), was referred to the outpatient diabeticfoot clinic for a chronic plantar ulcer on his left midfoot The 202 Atlas of the Diabetic Foot...
... ANATOMY OF THE FOOT Anatomy of the Foot 215 Figure A1 Dorsal aspect of the bones in the foot Figure A2 the foot Figure A3 Plain radiograph of the foot shown in lateral view Plantar aspects of the ... 208, 209 flat foot see pes planus Fontaine clinical staging 7–8 neuro-ischemic ulcers 116 224 Index foot anatomy 215 see also forefoot; heel; hindfoot; midfoot; sole of foot; toe(s) foot care, patient ... Lateral view of Figure 9.29 Figure 9.31 Plain radiograph of neuro-osteoarthropathy of the right footof the patient whose feet are shown in Figures 9.29 and 9.30 There is complete destruction of the...
... Sohn et al Journal ofFoot and Ankle Research 2010, 3:27 http://www.jfootankleres.com/content/3/1/27 Page of Table Comparison of methods for diagnostic accuracy ofdiabeticfoot ulcers (N = 518) ... specificity Sohn et al Journal ofFoot and Ankle Research 2010, 3:27 http://www.jfootankleres.com/content/3/1/27 Page of Table Existing methods of identifying diabeticfoot ulcers in administrative ... According to this method, the annual prevalence ofdiabeticfoot ulcers was 3.3% in the VA diabetic population in 2003 List of abbreviations DFU: Diabeticfoot ulcers; NPV: negative predictive value;...
... provision of sufficient infection therapy is the usage of temporary, antibiotic-loaded cement spacers [5, 7, 14, 24] Although their indication in the treatment of destructive, bacterial infectionsof ... Fig 2: Evaluation of the hip joint function by the Merle d’ Aubigne score at the site of spacer implantation in the treatment of proximal femur infections Fig 3: Evaluation of the hip joint function ... for an adequate option in the treatment of periprosthetic infections Although their indication for the treatment of destructive, bacterial infectionsof the proximal femur would make sense, literature...
... properties of gentamicin-loaded hip spacers after insertion of Kirschner wires [31] Stress experiments showed an average failure load of 1.6 kN The insertion of the K-wires prevented any dislocation of ... a study of 274 patients who underwent total hip replacement that of the patients with deep joint sepsis who had preoperative urinary tract infections, had evidence of the same organism of both ... retrospective evaluation of the patients’ records did not allow any differentiation of the particular cause of the renal failure, respectively (antibiotic-impregnation of the spacer, systemic...
... small numbers in the form of a biofilm and are also often in a sessile state that is characterized by a slow rate of reproduction [8,10-13] An analysis we carried out of 110 infected hip and knee ... lack of sufficient incubation led to the poor sensitivity of the pre-operative aspiration reported in other studies (for example, 46.1% reported by Hoffmann et al [17]) The degree of success of ... cement of the spacer is not intended as a means of fixing the prosthesis so the mechanical characteristics of the cement is not of primary importance at this stage Thus, large amounts of antibiotics...
... adjacent sources of release overlap and are of different zonal classification, the higher risk classification will apply in the area of overlap Where overlapping zones are of the same classification, ... Type of zone The likelihood of the presence of an explosive gas atmosphere and hence the type of zone depends mainly on the grade of release and the ventilation NOTE A continuous grade of release ... pressure and the geometry of the source of release The size of a cloud of flammable gas or vapour is determined by the rate of flammable vapour release and the rate of dispersion Gas and vapour...
... CSIC, 1998) The results of erosion potential classification - Based on Binh Dinh profile’s file (Vietnam Association of Soil Sciences, 1997), values of K for 117 hill soil profiles throughout the ... coefficient 39 The method of erosion potential classification in Binh Dinh Province The classificationof erosion potential M in Binh Dinh Province is based on the numerical value of the flow energy ... of erosion potential for all pixels of the four basins Table K values of main soil groups and classification by erosive characteristics Symbology Number of profiles Pc-h Speck aluvial soil Pc-fe...
... developed of the Yl family in the (A) sagittal, is overlaid in bold distance of 8.7 and 13.7, respectively They form one family of 10 trials, El, and a smaller one, E2, of 6, all consisting of elderly ... center of a 10-m walkway to cover the volume required for at least one complete gait cycle of the right lower limb A third camera was placed in front of the subject and aligned along the axis of ... side), in terms of the effect of the combined 31 gait parameters The optimal number of clusters can be determined in several ways Winters and coworkers*’ calculated the criterion of Hartigan and...