Limb Salvage of the Diabetic Foot An Interdisciplinary Approach
This book provides a practical guide to the treatment of patients as risk from limb amputation. The most common presentations of the diabetic foot are presented in concise and evidence-based chapters covering the neuropathic foot, the Charcot foot, the is
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Limb Salvage of the Diabetic Foot
Michael E. Edmonds • Bauer E. Sumpio Editors
Limb Salvage of the Diabetic Foot An Interdisciplinary Approach
Editors Michael E. Edmonds King’s College Hospital London UK
Bauer E. Sumpio School of Medicine Yale University New Haven, CT USA
The use and dosages of medicines stated in the book are advisory and should be checked by the individual prescriber ISBN 978-3-319-17917-9 ISBN 978-3-319-17918-6 (eBook) https://doi.org/10.1007/978-3-319-17918-6 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to our families, for their unconditional love and support.
Preface
The prevalence of diabetes continues to increase worldwide and coincides with a progressive increase in the number of diabetic foot complications. A major amputation in a patient with diabetes takes place every 20 s throughout the world. It is said that 80% of amputations in diabetic patients are preventable. This book is devoted to limb salvage and is about saving the limbs and lives of diabetic foot patients. After an introductory chapter on assessment, classification and approach to management, the book is divided into four sections, devoted to the four commonest presentations of the diabetic foot, namely, the neuropathic foot, the Charcot foot, the ischaemic foot and the infected foot. Each section has an introduction explaining the clinical approach to each of the presentations and is accompanied by an algorithm illustrating the limb salvage pathway and intervention steps for each of the four presentations. Each section contains clinical photographs illustrating the various presentations as well as the techniques of
