Journal of the American Podiatric Medical Association

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Sensory Substitution in the Diabetic Neuropathic Foot

by Steven C. Walker

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 338; https://doi.org/10.7547/87507315-87-7-338 - 1 Jul 1997

Cited by 2 | Viewed by 56

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Open AccessCommunication

Predicting Neuropathic Ulceration With Infrared Dermal Thermometry

by David G. Armstrong and Lawrence A. Lavery

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 336-337; https://doi.org/10.7547/87507315-87-7-336 - 1 Jul 1997

Cited by 26 | Viewed by 55

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After Amputation. Rehabilitation of the Diabetic Amputee

by Ernest R.E. Van Ross

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 332-335; https://doi.org/10.7547/87507315-87-7-332 - 1 Jul 1997

Cited by 7 | Viewed by 81

Abstract

Rehabilitation should address the physical and psychological scars following ablative surgery and help the amputee plan for the future. Collaboration is required between the surgical team, the rehabilitation team, and social services. Issues of particular concern to the amputee with diabetes are discussed. [...] Read more.

Rehabilitation should address the physical and psychological scars following ablative surgery and help the amputee plan for the future. Collaboration is required between the surgical team, the rehabilitation team, and social services. Issues of particular concern to the amputee with diabetes are discussed. Full article

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Lower Extremity Macrovascular Disease in Diabetes

by Subodh Arora and Frank W. LoGerfo

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 327-331; https://doi.org/10.7547/87507315-87-7-327 - 1 Jul 1997

Cited by 14 | Viewed by 75

Abstract

Lower extremity macrovascular disease is more common and progresses more rapidly in the presence of diabetes and has a characteristic peritibial distribution with sparing of the foot arteries. The biology of the diabetic foot is compromised, thereby making it more susceptible to injury. [...] Read more.

Lower extremity macrovascular disease is more common and progresses more rapidly in the presence of diabetes and has a characteristic peritibial distribution with sparing of the foot arteries. The biology of the diabetic foot is compromised, thereby making it more susceptible to injury. Hence, compromises in perfusion have a greater significance, warranting an aggressive approach to revascularization. Full article

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Surgical Morbidity and the Risk of Amputation Due to Infected Puncture Wounds in Diabetic Versus Nondiabetic Adults

by David G. Armstrong, Lawrence A. Lavery, Terri L. Quebedeaux and Steven C. Walker

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 321-326; https://doi.org/10.7547/87507315-87-7-321 - 1 Jul 1997

Cited by 41 | Viewed by 57

Abstract

We reviewed the hospital course of 77 diabetic and 69 nondiabetic subjects who had incision, drainage, and exploration of infected puncture wounds of the foot. Diabetics were 5 times more likely to have multiple operations and 46 times more likely to have a [...] Read more.

We reviewed the hospital course of 77 diabetic and 69 nondiabetic subjects who had incision, drainage, and exploration of infected puncture wounds of the foot. Diabetics were 5 times more likely to have multiple operations and 46 times more likely to have a lower extremity amputation than nondiabetics. The interval from injury to surgery was significantly longer in diabetics than nondiabetics. Total lymphocyte count and hemoglobin, hematocrit, and albumin values were significantly lower in diabetics than in nondiabetics. Diabetic amputees had higher prevalences of nonpalpable pulses, nephropathy, neuropathy, and osteomyelitia as compared with diabetic nonamputees. The neuropathic diabetic foot is not protected by pain. When combined with other comorbid factors, this may increase morbidity associated with puncture wounds of the foot. Full article

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Teaching Diabetic Foot Care Effectively

by Bettina Peter-Riesch and Jean-Philippe Assal

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 318-320; https://doi.org/10.7547/87507315-87-7-318 - 1 Jul 1997

Cited by 9 | Viewed by 62

Abstract

Patient education is a fundamental aspect of the management of foot ulcers in the patient with diabetes mellitus. Preventive measures have to be focused on the individual risk profile of the patient and on the chronology of appearance of symptoms. Teaching issues need [...] Read more.

Patient education is a fundamental aspect of the management of foot ulcers in the patient with diabetes mellitus. Preventive measures have to be focused on the individual risk profile of the patient and on the chronology of appearance of symptoms. Teaching issues need to be adapted into the following three stages: A) before: prevention of foot ulceration in the at-risk patient; B) acute: prevention of extension of an existing ulcer; and C) after: prevention of recurrence. Full article

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Screening Techniques to Identify The Diabetic Patient at Risk of Ulceration

by Louis R. Simeone and Aristidis Veves

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 313-317; https://doi.org/10.7547/87507315-87-7-313 - 1 Jul 1997

Cited by 17 | Viewed by 53

Abstract

Foot problems are common in diabetic patients, with neuropathy and peripheral vascular disease being the main causative factors. Identification of high-risk feet can be accomplished by using basic clinical skills and simple equipment. Limb amputation is the most preventable of the long-term diabetes [...] Read more.

Foot problems are common in diabetic patients, with neuropathy and peripheral vascular disease being the main causative factors. Identification of high-risk feet can be accomplished by using basic clinical skills and simple equipment. Limb amputation is the most preventable of the long-term diabetes complications and a multidisciplinary approach can achieve a dramatic reduction of major limb amputations. Full article

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Team Approach Toward Lower Extremity Amputation Prevention In Diabetes

by Robert G. Frykberg

J. Am. Podiatr. Med. Assoc. 1997, 87(7), 305-312; https://doi.org/10.7547/87507315-87-7-305 - 1 Jul 1997

Cited by 56 | Viewed by 54

Abstract

Through a discussion of the etiology and pathology of diabetic foot lesions with particular emphasis on ulceration and osteoarthropathy, the author will develop a plan for treatment and prevention using a multidisciplinary approach to such problems. Underlying risk factors including neuropathy, ischemia, infection, [...] Read more.

Through a discussion of the etiology and pathology of diabetic foot lesions with particular emphasis on ulceration and osteoarthropathy, the author will develop a plan for treatment and prevention using a multidisciplinary approach to such problems. Underlying risk factors including neuropathy, ischemia, infection, and, especially high pressures must be evaluated and appropriately ameliorated in order to promote resolution and avoidance of recidivism. Accordingly, conservative management with pressure-relieving devices, topical therapies, and prophylactic surgery on structural deformities plays an integral part in the overall podiatric management of the high-risk foot in diabetes mellitus. Full article

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J. Am. Podiatr. Med. Assoc., Volume 87, Issue 7 (07 1997) – 8 articles , Pages 305-338

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