Diabetic foot ulcer is a major complication of diabetes mellitus and probably the major component of the diabetic foot. Routine ulcer care treatment of infections amputations and hospitalizations cost billions of dollars every year and place a tremendous burden on the health care system.
Caring For Wounds And Foot Ulcers In Diabetic Patients Las
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A key feature of wound healing is stepwise repair of lost extracellular matrix ecm that forms the largest component of the dermal skin layer.
Diabetic foot ulcer wound description. Grade 0 pre or postulcerative site that has healed. The gold standard for diabetic foot ulcer treatment includes debridement of the wound management of any infection revascularization procedures when indicated and off loading of the ulcer. Not all infections are treated the same way.
Components of a successful assessment include foot ulcer classification systems thorough history taking meticulous physical examination and diagnostic testing. Wound healing is an innate mechanism of action that works reliably most of the time. Other methods have also been suggested to be beneficial as add on therapies such as hyperbaric oxygen therapy use of advanced wound care products and negative pressure wound therapy npwt 29.
A diabetic foot ulcer dfu can be defined as a full thickness wound ie involving the subcutaneous tissue below the ankle or as a lesion of the foot penetrating through the dermis in people with type 1 or type 2 diabetes. Thorough systematic assessment of a patient with a diabetic foot ulcer is essential to developing a comprehensive plan of care. An infection is a serious complication of a foot ulcer and requires immediate treatment.
The management of diabetic foot ulcers requires offloading the wound by using appropriate therapeutic footwear 8 9 daily saline or similar dressings to provide a moist wound environment debridement when necessary antibiotic therapy if osteomyelitis or cellulitis is present 11 12 optimal control of blood glucose and. The university of texas diabetic foot ulcer classification system. The university of texas system grades diabetic foot ulcers by depth and then stages them by the presence or absence of infection and ischemia.
Doctors can remove diabetic foot ulcers with a debridement the removal of dead skin foreign objects or infections that may have caused the ulcer. Grade 1 superficial wound not involving tendon capsule or bone. Diabetic foot problems such as ulcerations infections and gangrene are the most common cause of hospitalization among diabetic patients.
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