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Diabetes and Orthopaedic Surgery

Luca Dalla Paola, MD, Anna Carone, MD, Silvia Ricci, MD, and Andrea Russo, MD

Diabetic foot is a major health problem all over the world. Approximately 15% of the 200 million people with diabetes worldwide will develop a foot ulcer during their lifetime. Major amputation is a feared complication of diabetes. More than 60% of non-traumatic amputations in the western world are carried out in diabetes patients. Major amputations increase morbidity and mortality and reduce the patient’s quality of life. Treatment of foot complications accounts for a significant proportion of the economic and health resources directed to the diabetic population. However, recent years have seen a significant increase in knowledge regarding the pathophysiological pathways of this complication, together with improvements in diagnostic techniques, and above all a standardized conservative therapeutic approach, which allows limb salvage in a high percentage of cases. This article provides an overview of the current indication for surgery in diabetes patients affected by complicated diabetic foot. Adv Orthop 2010;2(3):89–99.

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