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Diabetic foot ulcer, treatment debridement

The nonpharmacologic treatment of diabetic foot ulcers may include off-loading, chemical or surgical debridement of necrotic tissue, wound dressings, hyperbaric oxygen, vascular or orthopedic surgery, and the use of human skin equivalents.30... [Pg.1083]

Claudication and nonhealing foot ulcers are common in type 2 DM patients. Smoking cessation, correction of lipid abnormalities, and antiplatelet therapy are important strategies in treating claudicants. Pentoxifylline or cilostazol may he useful in selected patients. Revascularization is successful in selected patients. Local debridement and appropriate footwear and foot care are vitally important in the early treatment of foot lesions. In more advanced lesions, topical treatments may be of benefit. Diabetic foot care is an excellent example of the adage, an ounce of prevention is worth a pound of cure. ... [Pg.1361]

The key treatment for diabetic foot wounds is often debridement in its many guises. Despite the plethora of treatment available their success can be limited if the wound is not sufficiently prepared. The process of debridement removes non-viable tissue and the products remaining from an abnormal, sustained inflammatory response. Increased protease levels and an imbalance of matrix metal-loproteinases and their tissue inhibitors [10] maintain the chronic wound state and their removal with associated hyperaemia will encourage an influx of the biological components of healing. The level of debridement used will depend on the aetiopathogenesis and the morphology of the ulcer. [Pg.229]

Figure 4. Healing of a chronic ulcer in the foot of a 71 years old diabetic patient. The wound did not close even 4ien treated for 9 months by conventional treatment (oral antibiotics, Acticoat Absorbent, Allevyn, Apligraf and sharp debridement). Figure 4. Healing of a chronic ulcer in the foot of a 71 years old diabetic patient. The wound did not close even 4ien treated for 9 months by conventional treatment (oral antibiotics, Acticoat Absorbent, Allevyn, Apligraf and sharp debridement).

See other pages where Diabetic foot ulcer, treatment debridement is mentioned: [Pg.230]    [Pg.233]   
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