Abstract: Diabetes mellitus (DM) is one of the primary problems in health systems and a worldwide public health hazard that has actually increased dramatically over the past two decades. we aimed by this review to demonstrate the approaches of surgical management of diabetic foot ulcers, effectiveness, when to decide for surgical procedures efficiency and outcomes, all through reviewing the evidence based on previous studies. we searched for articles published through October 2016 in the following five electronic databases: PubMed, Science Direct, Embase, Web of Science, and Scopus, for both English and non-English language articles with the following keywords: “diabetic foot ulcer”, “amputations”, “wound management”, “debridement”, “advanced dressings”, “offloading modalities”, “hyperbaric oxygen therapy”, “electrical stimulation”, “negative pressure wound therapy”, “bio-engineered skin“, “growth factors”, and “foot care” as the medical subject heading (MeSH). The risk of injury to the diabetic foot is high, and the consequences of injury can be severe, therefore prevention is undoubtedly the best strategy. Tight glycemic control is essential but many problems can also be avoided by strict attention to foot hygiene and to the use of well-fitting footwear. Injury or infection may be overlooked in the early stages due to the difficulty some patients experience in inspecting their feet, as well as the effects of poor eyesight and reduced perception of pain. The role of the clinician in detecting these problems is of particular importance. Once all nonsurgical therapeutic options have been attended to, preventive surgery should be considered as a means of correcting deformities and minimizing the development of ulcerations, which may lead to much more drastic interventional surgery at a later date.
Keywords: Diabetic foot ulcer (DFU), Diabetes mellitus (DM).
Title: Surgical Management of Diabetic Foot Ulcer (DFU): Systematic Review
Author: Nasser Mohammed Abdullah Alshahrani, Abdullah Saad Judaya Alshahrani, Fayez abdulrahman fayez alshahrani, Saeed Faleh Saeed Al Shahrani, Abdullah saad amer alshahrani, Jamaan Rafia Faraj Alshahrani, Abdualla Mohammed A Alshahrani, Yahya Hussain saad Alqahtani
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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