The Diabetic Foot

1. Front Matter

   Pages i-xiii

   PDF

2. Introduction to Diabetes

   • Peter Sheehan

   Pages 1-34

3. Epidemiology and Health Care Costs of Diabetic Foot Problems

   • Gayle E. Reiber

   Pages 35-58

4. Physiology and Pathophysiology of Wound Healing

   • Vincent Falanga

   Pages 59-73

5. Diabetic Polyneuropathy

   • Solomon Tesfaye

   Pages 75-98

6. Microvascular Changes in the Diabetic Foot

   • Cameron M. Akbari, Frank W. LoGerfo

   Pages 99-112

7. Clinical Features and Diagnosis of Macrovascular Disease

   • Nikhil Kansal, Allen Hamdan

   Pages 113-125

8. Foot Pressure Abnormalities in the Diabetic Foot

   • Thomas E. Lyons, Jeremy Rich, Aristidis Veves

   Pages 127-146

9. Biomechanics of the Diabetic Foot: The Road to Foot Ulceration

   • Carine H. M. van Schie, Andrew J. M. Boulton

   Pages 147-161

10. Clinical Examination of the Diabetic Foot and Identification of the At-Risk Patient

    • David G. Armstrong, Edward Jude, Andrew J. M. Boulton, Lawrence B. Harkless

    Pages 163-178

11. Radiographic Changes of the Diabetic Foot

    • Yvonne Cheung, Mary Hochman, David P. Brophy

    Pages 179-205

12. Microbiology and Treatment of Diabetic Foot Infections

    • Adolf W. Karchmer

    Pages 207-219

13. Charcot Changes in the Diabetic Foot

    • Robert G. Frykberg

    Pages 221-246

14. Principles of Treatment of the Chronic Wound

    • Joseph E. Grey, Vanessa Jones, Keith G. Harding

    Pages 247-278

15. Local Care of the Diabetic Foot

    • Philip Basile, Barry I. Rosenblum

    Pages 279-291

16. Surgical Treatment of the Ulcerated Foot

    • John M. Giurini

    Pages 293-315

17. Amputations and Rehabilitation

    • Ronald A. Sage, Michael Pinzur, Rodney Stuck, Coleen Napolitano

    Pages 317-344

18. Reconstruction of Soft Tissue Defects of the Foot

    • Nancy Falco Chedid

    Pages 345-384

19. Role of Growth Factors in the Treatment of Diabetic Foot Ulceration

    • David L. Steed

    Pages 385-395

20. Living Skin Equivalents for Diabetic Foot Ulcers

    • Hau T. Pham, Thanh L. Dinh, Aristidis Veves

    Pages 397-410

In The Diabetic Foot: Medical and Surgical Management, a distinguished panel of clinicians-many practicing at the famous Joslin-Beth Israel Deaconess Foot Center-illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of this medical problem. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, the book clearly describes established techniques known to be effective. Also highlighted are the many emerging treatments that will affect diabetic foot care in the years ahead, including a new understanding of wound-healing pathophysiology and the recent introduction of growth factors and living skin equivalents.

• Diabetes
• biomechanics
• growth factor
• infection
• infections
• infectious
• infectious disease
• rehabilitation

"This book is a must for any practitioner treating diabetic foot patients. With an array of authors from renowned institutions, this book has satisfactorily taken on the enormous task of providing current information on the management of the diabetic foot, while reinforcing well-established protocols, principles, and treatments. . .Particularly well done is the chapter on clinical examination and identification of the at-risk patient, which presents key questions for identifying ulcer risk and assessing a diabetic foot wound. Several chapters informatively and clearly address the vascular complications and surgical treatments available. Also well-covered is diabetic polyneuropathy. In this challenging yet common complication of diabetes, the author does an excellent job of classifying various syndromes of diabetic neuropathy, including differential diagnosis, causes, and management. The surgical chapters describe an array of options for the surgical practitioner. Of note is the section on amputations and rehabilitation in which the authors provide an innovative view of amputations as a procedure to enable the patient to return to productive community activity instead of failure or the start of disability.
It is a pleasure to review such an insightful book full of information, new and old, that can be easily incorporated into the daily treatment of the diabetic foot patient. I highly recommend this book as an additional reference for those involved in the complicated task of medical and surgical management of the diabetic foot." -Doody's Health Sciences Book Review Journal

"The topics covered range from proven preventive strategies to cutting-edge wound care techniques that draw on such new developments as growth factors and living skin equivalents. A detailed review of the pathophysiology of the diabetic foot is also included. The emphasis throughout is on a multidisciplinary approach that incorporates the services of diabetologists, podiatrists,orthopedic surgeons, orthotists, diabetic nurse educators and others. Numerous black-and-white color photographs, drawings, algorithms, and charts illustrate the text" - Consultant

"Overall, this is an excellent text. Dr. Veves and his colleagues have provided a scholarly and multidisciplinary summary of an increasingly common clinical problem faced by all vascular surgeons. This book will be of great value to vascular surgeons, orthopedic surgeons who treat diabetic foot problems, and other specialists who treat these patients." -Annals of Vascular Surgery

"This book provides detailed information on the medical and surgical management of the diabetic foot. With chapters from many eminent contributors, the book will serve as an excellent point of reference to most departments involved in diabetic foot care." -European Journal of Endovascular

"The 37 experts contributing to this excellent new book can help the reader appropriately advise and treat patients to minimize the bad outcomes-otherwise inherent in diabetes." - Comprehensive Therapy

"This book provides detailed information on the medical and sugical management of the diabetic foot...the book will serve as an excellent point of reference to all individuals involved in the care of the diabetic foot disease...a welcome addition as a point of reference to most departments involved in diabetic foot care." - Eur J Vasc Surg

• Beth Israel Deaconess Medical Center, Boston, USA

  Aristidis Veves, John M. Giurini, Frank W. LoGerfo

Policies and ethics