2020, Number 2
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ABSTRACTTo consider the diabetic foot as “the infection, ulceration and/or destruction of deep tissues associated with neurological disorders and several degrees of peripheral vascular disorder in lower limbs” is appropriate, since it includes all the aspects that define it: neuropathy, ischemia, and different levels of bacteria-host interaction. The objective of this article was to expose the principles that must be taken into account when planning surgery on the patient with neuropathic diabetic foot, according to the experience of our work group. In this way, 10 basic principles were established that must be observed in the surgical treatment of a patient with a neuropathic diabetic foot and that will allow obtaining more satisfactory outcomes.
Hingorani A, LaMuraglia GM, Henke P, Meissner MH, Loretz L, Zinser KM, et al. The management of diabetic foot: A clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine. J Vasc Surg. 2016 [acceso 13/04/2020];63:3S-21S. DOI: https://doi.org/10.1016/j.jvs.2015.10.003
Bakker K, Apelqvist J, Lipsky Ba, Van Netten JJ. International Working group on the diabetic foot. The 2015 IWGDF guidance documents on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes Metab Res Rev. 2016 [acceso 15/04/2020];32(suppl 1):2-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26409930/