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Diabetic Foot Care
Patients with diabetes commonly have related complications in the feet. Foot ulceration is reportedly a contributing factor in approximately 85 percent of lower extremity amputations among people with diabetes. However, comprehensive foot care programs can reduce amputation rates by 45 to 85 percent, according to the American Diabetes Association. See below for related articles on diabetic foot care.
Expert Addresses Global Diabetes
? For example, 1 to 5 percent of India? Diabetic foot care is also very problematic in South Africa.
Featured Content from Podiatry Today
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Pay For Performance: How Will It Impact Diabetic Foot Care?
Most doctors try to deliver the highest level of medical care they can. What defines quality healthcare? consistent documentation of care; For patients with wounds, one should: ?
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Understanding The Diabetic Therapeutic Shoe Program
While myths and misperceptions may prevent some from participating in the Diabetic Therapeutic Shoe Program, this author says the program is beneficial for providing comprehensive foot care for patients with diabetes and can bolster your bottom line as well.
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New Products/Industry News: December 2004
The agreement grants Elcom exclusive distribution rights for OASIS products in Costa Rica, El Salvador, and Panama. ? For information, visit www.dfcon.com Innovative Wound Care Technology by Vital Needs International Positioned for Commercialization Vital Needs International (VNI) announces the release of a wound care ...
Featured Content from Wounds Research
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Proactive Measures To Prevent Diabetic Complications
Patients with diabetes suffer from macrovascular and microvascular complications. Peripheral vascular disease ? Managing a focal pressure keratosis is critical.
Featured Content from Podiatry Today
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Reassessing The Impact Of Diabetic Footwear
Emphasizing the role of the pedorthotist in the multidisciplinary team for diabetic foot care, these authors explore the possible preventive and post-op indications for a variety of therapeutic shoes, braces, orthoses and other ambulatory devices.
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The Challenge of the Diabetic Foot
The Challenge of the Diabetic Foot The Challenge of the Diabetic Foot Michael S. Pinzur, MD Dr. Pinzur is Professor of Orthopaedic Surgery, Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL. A comprehensive program combining foot-specific patient education, ongoing skin and nail monitoring, and protective footwear will lower the incidence of diabetic foot ulcers and lower extremity amputations. Tissue-culture–derived living skin has ...
Featured Content from Annals of Long-Term Care
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Pain in Diabetic Foot Ulcers
People with diabetes who have foot ulcers require adequate vasculature, infection control, and pressure offloading to heal. Pain is uncommon in diabetic foot disorders, but it may herald the onset of limb-threatening complications such as deep infection, Charcot change, or critical ischemia. Although neuropathy is most commonly painless, a minority of patients experience disturbing burning, stinging, stabbing, or shooting sensations. Using the "preparing the wound bed" model, the cause of pain in the person with diabetic foot problems can be diagnosed systematically and important therapeutic measures can be instituted in an attempt to prevent potential complications, including amputation.
Featured Content from Ostomy Wound Management
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January/February 2007
For more information, call 800-321-9647 or visit www.gojo.com. Doctors Applaud New Sock for Diabetic Foot Care EuroSocks North America, a top producer of sport-specific performance and compression socks, introduces Euros Rx® for Diabetics. ? Euros Rx and Euros Rx for Diabetics are currently available through podiatrists?
Featured Content from Extended Care Product News
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The Choice of Diabetic Foot Ulcer Classification in Relation to the Final Outcome
Abstract: The objective of this paper is to present a new classification for diabetic foot ulcers, the two-dimensional Van Acker/Peter classification (VA/P), and test its prognostic value in comparison with the one-dimensional Megit/Wagner classification. Research Design and Methods: A group of patients visiting the UZA Diabetic Foot Clinic between January, 1992, and December, 1997, was analyzed retrospectively. Clinical descriptions and photographic images of their ulcers were collected of all patients. All ulcers were coded by one investigator. Only files with data on healing outcome were included. The VA/P Classification has a horizontal axis with clinical assessment of depth and grade of infection and a physiopathological vertical axis. Both classifications were evaluated according to healing with or without amputation and to duration of healing. Results: Study population consisted of 121 patients with a total of 253 ulcers. Of these, 88 percent healed without amputation. About 60 percent of the ulcers were located on the toes, accounting for 83.3 percent of all amputations. Twenty-one out of thirty (70%) amputations occurred in the vascular group DE (VA/P). Both ulcer classifications (Wagner and VA/P) showed good mutual correlation, but no correlation existed between the two parts of the VA/P classification. Therefore, both classifications deliver additional information and can be used in a complementary way. Furthermore, only in the Wagner classification a significant association was found with duration of healing of the ulcer. Conclusions: The Wagner classification remains a perfectly usable instrument on the clinical and prognostic levels. In a multicenter research situation, a more detailed description, such as the VA/P classification, is needed, particularly in case of Wagner 3 ulcers.
Featured Content from Wounds Research
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