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Diabetic foot ulcers: Part II. Management. 2014
Afsaneh Alavi, and
R Gary Sibbald, and
Dieter Mayer, and
Laurie Goodman, and
Mariam Botros, and
David G Armstrong, and
Kevin Woo, and
Thomas Boeni, and
Elizabeth A Ayello, and
Robert S Kirsner
Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada. Electronic address: afsaneh.alavi@utoronto.ca.
The management of diabetic foot ulcers can be optimized by using an interdisciplinary team approach addressing the correctable risk factors (ie, poor vascular supply, infection control and treatment, and plantar pressure redistribution) along with optimizing local wound care. Dermatologists can initiate diabetic foot care. The first step is recognizing that a loss of skin integrity (ie, a callus, blister, or ulcer) considerably increases the risk of preventable amputations. A holistic approach to wound assessment is required. Early detection and effective management of these ulcers can reduce complications, including preventable amputations and possible mortality.
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