Diabetic Foot Reconstruction

Featuring more than 1,200 illustrations, including over 800 in full color, this book presents a stepwise approach to the surgical management of the most challenging cases in diabetic limb salvage. The book covers acute and chronic diabetic foot and ankle wounds and guides surgical decision-making in different case scenarios, including prophylactic, elective, trauma, and revisional surgery. Emphasis is on the multidisciplinary team approach. Topics covered include surgical reconstruction of the acute and chronic Charcot foot and ankle; local random, muscle and pedicle flaps for soft tissue coverage of the diabetic foot; equinus deformity and the diabetic foot; surgical management of malunions and nonunions; and autogeneous bone grafting and orthobiologics.

This excellently illustrated book offers clear guidance on diabetic foot reconstruction based on a multidisciplinary and practical approach. In the past, the ulceration and necrosis associated with diabetic foot very frequently necessitated amputation. Now, microsurgical reconstruction of the diabetic foot, a procedure in which the author is an acknowledged expert, offers a means of saving the foot while also greatly improving long-term survival rates. The book covers all aspects of diabetic foot reconstruction with the aim of equipping readers with the knowledge required in order to achieve optimal outcomes. Preoperative evaluation is explained and full instruction provided on debridement, infection control, and vascular intervention – the key steps in preparing for a successful reconstruction. All stages in reconstruction are then described and illustrated, covering selection of the recipient vessel and flap, flap elevation, and microanastomosis. Guidance is also provided on toe and transmetatarsal amputation and surgical offloading procedures. Finally, the essentials of postoperative care are presented.

This is the first textbook on surgery for Diabetic Foot in the world. It is written as a practical surgery manual for residents and young surgeons performing surgical procedures for patients with diabetic foot problems. Such a guide will be useful not only to residents and surgeons in Singapore but also to our neighbouring countries including, Malaysia, Indonesia, Hong Kong, India, Sri Lanka etc. Each surgical procedure is written in a systematic fashion covering indications, pre-operative preparation, anaesthesia, patient positioning, operative technique (in step by step fashion and illustrations) and post-operative care. The scope covers all aspects of surgery for diabetic foot from surgical debridement, split skin grafting, surgery for osteomyelitis, minor amputations including ray, transmetatarsal, Lisfranc, Chopart and Modified Pirogoff amputation to major amputations such as below knee, through knee and above knee amputation. It also includes assessment for revascularisation and revascularisation procedures. This book will serve as a useful practical guide for training surgical residents and for surgeons aspiring to do diabetic foot surgery.

Health Economics and Financing Diabetic Foot Care: Case Studies in Clinical Management uses an illustrated patient case study format to demonstrate the multidisciplinary care and clinical management of patients with feet and lower limb problems as a result of diabetes. Every case has colour illustrations highlighting both the initial presentation of the foot, right through to treatment and long term follow-up care. Of particular focus are the management problems, barriers to effective care, preventable mistakes, unnecessary delays in presentations, challenging situations, conflicts, dilemmas and solutions that podiatrists and diabetic specialists face. Sections in the book include: Neuropathic and neuroischaemic foot, neuropathic ulcers, ischaemic ulcers, infections, gangrene, traumatic injuries, Charcot’s osteoarthropathy, dermatological problems associated with diabetes, painful neuropathy, diabetic foot emergencies, angiology and foot surgery/amputation. With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists. Titles of Related Interest Practical Manual of Diabetic Foot Care 2E The Foot in Diabetes 4E Boulton. 978-0-470-01504-9 Handbook of Diabetes 4E Bilous. 978-1-4051-8409-0

In The Diabetic Foot: Medical and Surgical Management, 3rd Edition, a distinguished panel of clinicians provides a thorough update of the significant improvements in knowledge surrounding the pathogenesis of diabetic foot problems, as well as the optimal healthcare treatment for this debilitating condition. The authors, many practicing at the famous Joslin-Beth Israel Deaconess Foot Center, again illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of diabetic foot. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, this invaluable third edition, so timely given the continued rise of diabetes and its complications, clearly describes established techniques known to be effective. This updated edition blends new knowledge with the time-tested principles of diabetic foot management and will be of significant value to all physicians and researchers with an interest in a state-of-the-art understanding of diabetic foot.

Emphasizing a multidisciplinary team approach, Surgical Reconstruction of the Diabetic Foot and Ankle, 2nd Edition, is an easy-to-follow, well-illustrated guide to the latest surgical techniques in diabetic lower extremity reconstruction. Dr. Thomas Zgonis and an expert team of national and international authors share their extensive knowledge and experience in the surgical treatment of diabetic patients, including challenging clinical scenarios of severe infections, lower extremity deformities, peripheral arterial disease, and soft tissue compromise. Features: Covers everything from preoperative management of the diabetic patient, to surgical reconstruction by various surgical teams, to postoperative management with long-term successful outcomes. Addresses elective, reconstructive, traumatic, and revisional diabetic foot and ankle surgery. While other references discuss medical management for the diabetic foot, Surgical Reconstruction of the Diabetic Foot and Ankle is the definitive reference on surgical intervention for the diabetic foot. Offers superb coverage of the surgical reconstruction of osseous and soft tissue defects by providing a step-by-step approach for the treatment of diabetic foot infections, osteomyelitis, non-healing wounds, and Charcot neuroarthropathy. Features more than 1,200 high-quality illustrations, including over 800 in full color. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time -- providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

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 ischemic foot, and the infected foot. Each section includes an introduction to the clinical approach as well as an algorithm illustrating the limb salvage pathway and intervention steps. Limb Salvage of the Diabetic Foot: An Interdisciplinary Approach aims to help the reader build an interdisciplinary understanding of the diabetic foot and its treatment and is of interest to all members of the interdisciplinary diabetic foot team including surgeons, podiatrists, radiologists, nurses, orthotists, infectious disease physicians, and endocrinologists.

This pioneering textbook is the first one ever on diabetic foot problems. With contributions from a multidisciplinary panel of experts, it presents a comprehensive curriculum on the topic. This includes global and socio-economic aspects of diabetes; a team approach; basic science of the foot (anatomy and biomechanics); clinical assessment and classification systems for diabetic foot problems; endocrine aspects; diabetic foot infections (clinical presentation and management); amputations in diabetic foot surgery (predictive factors, major and distal amputations, rehabilitation and phantom pain management); care of diabetic wounds (including the role of the latest technologically advanced dressings, vacuum dressings, anodyne therapy, ultrasonic debridement and extracorporeal shockwave therapy); and diabetic footcare and diabetic footwear.