Open arterial reconstruction of the diabetic foot

Joseph J. Naoum, Eric K. Peden

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

INTRODUCTION In the United States, approximately 20.6 million people 20 years or older have diabetes. Among these, 10.3 million are older than 60 years. In 2005, 1.5 million new patients were diagnosed as having diabetes, and approximately 30% of people 40 years or older have impaired sensation in their feet or neuropathy. More than 60% of nontraumatic lower-limb amputations occur in people with diabetes as a result of peripheral neuropathy, infections, ulcers, or peripheral arterial disease (1). Ramsey and colleagues (2) reviewed a cohort of patients with diabetes and observed that over a 3-year period, 5.8% developed a foot ulcer, 15% of those had osteomyelitis and an equal number required amputation. Survival at 3 years was lower for patients with foot ulcers compared with those without ulceration. The incidence of foot ulceration was nearly 2% to 3% per year with a lifetime incidence of approximately 15% (2,3). It comes as no surprise that major complications of diabetes are associated with a worse health-related quality of life (4).

Original languageEnglish (US)
Title of host publicationHigh Risk Diabetic Foot
Subtitle of host publicationTreatment and Prevention
PublisherCRC Press
Pages35-48
Number of pages14
ISBN (Electronic)9781420083026
ISBN (Print)9781420083019
DOIs
StatePublished - Jan 1 2010

ASJC Scopus subject areas

  • Medicine(all)

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