Management of Diabetic Foot Complications

1. Front Matter

   Pages i-xi

   PDF

2. Foot Complications in Diabetes: The Problem

   • Clifford P. Shearman

   Pages 1-7

3. Screening and Treatment of Early Complications in the Diabetic Foot

   • Graham C. Bowen

   Pages 9-22

4. Emergency Management of the Acute Diabetic Foot

   • Abigail H. M. Morbi, Clifford P. Shearman

   Pages 23-37

5. Managing Diabetes in People with Foot Complications

   • Mayank Patel, Keith G. McCormick

   Pages 39-49

6. Predicting Wound Healing in the Diabetic Foot: Measuring Skin Viability

   • Javier Aragón-Sánchez, Rajgopal Mani

   Pages 51-63

7. Imaging in the Patient with Foot Complications

   • Duncan F. Ettles, Lynn Ling

   Pages 65-76

8. Treatment of Infection in the Diabetic Foot: The Use of Antibiotics

   • Anthony R. Berendt

   Pages 77-92

9. Endovascular Revascularisation: When and How

   • Andrew J. Wigham, Raman Uberoi

   Pages 93-111

10. Surgical Revascularisation of the Diabetic Foot

    • Paul W. Moxey, Patrick F. S. Chong

    Pages 113-125

11. Amputation Above the Ankle: Achieving the Best Outcome for the Patient

    • Nicola Storer, Marie Hulse, Ian M. Nordon, Stephen J. Baxter

    Pages 127-142

12. Neuro-osteoarthropathy: The Charcot Foot – Pathology, Diagnosis, and Treatment

    • William J. Jeffcoate

    Pages 143-153

13. The Role of the Orthopaedic Surgeon in Diabetic Foot Complications

    • Gavin W. Bowyer

    Pages 155-163

14. Cardiovascular Risks in People with Diabetes Foot Complications

    • Martin Fox, Lisa Jane Lainton

    Pages 165-177

15. Foot Care and the Prevention of Recurrent Ulcers

    • Laurie King

    Pages 179-189

16. Foot Deformity and Pressure Management in the Diabetic Foot

    • David A. Russell

    Pages 191-200

17. The Role of the Multidisciplinary Team in the Management of Diabetic Foot Complications

    • Stella Vig, Kathryn H. Waite

    Pages 201-213

18. Back Matter

    Pages 215-226

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​Public and political concern about the increasing prevalence of diabetes has prompted major concern about treatment of patients with the condition. Foot complications are some of the commonest causes of hospitalisation of people with diabetes and if not treated well often lead to amputation. There is evidence that 85% of these amputations can be prevented by better understanding of the problem and by multi-disciplinary teams working more effectively together.  This has been recognised and NICE have recently published guidelines on diabetic foot complications as have Diabetes UK and NHS Diabetes. These have been successful in raising awareness of the problem but the local multi-disciplinary teams need clear practical advice on how to manage the foot in diabetes and deliver high quality care. With the current interest in improving outcomes for patients with foot complications this is an ideal time to make a practical evidence-based handbook available. This book will provide clear practical guidelines on how to manage all aspects of the foot in diabetes as well as an in-depth analysis of the most recent evidence. The book will be based on care pathways with algorithms for each section so it would be of practical value in any clinic in primary or secondary care. It will appeal to a wide range of health care professionals treating people with diabetes: vascular surgeons and trainees, orthopaedic surgeons, diabetes specialist nurses, podiatrists and tissue viability nurses.​

• Amputation
• Diabetes
• Foot
• Podiatry
• Surgery

• Vascular Surgery, Southampton General Hospital, Southampton, United Kingdom

  Clifford P. Shearman

Professor Cliff Shearman is Professor of Vascular Surgery at University of Southampton and Associate Medical Director for R&D in Southampton University Hospitals NHS Trust, UK. He is also Head of Wessex School of Surgery and President of the Vascular Society of Great Britain and Ireland. He has a research and clinical interest in diabetic vascular disease and its complications and heads a multidisciplinary diabetic foot care team. Professor William Jeffcoate is Consultant Endocrinologist at Nottingham University Hospitals NHS trust. He first established a specialist foot service in Nottingham in 1982 and co-founded the Foot Ulcer Trials Unit in 2002. His main research interest lies in collating evidence to underpin protocols for the clinical care of foot disease. He was Contributing Editor to The Lancet from 1997 to 2007 and is currently an Associate Editor for Diabetologia.

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