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Evidence-Based Approach of Plastic Surgery in the Diagnosis and Treatment of Diabetic Foot Ulcers

10.5222/otd.2015.072

  • Derya Bingöl
  • Özay Özkaya
  • Kadir Tasasız
  • Ayberk Akçay
  • İbrahim Avşin Öztürk

Received Date: 05.05.2015 Accepted Date: 15.07.2015 Eur Arc Med Res 2015;31(1):72-81

Diabetic foot ulcers, is one of the significant causes of morbidity and mortality in patients with diabetes, occuring with a high incidence (12-25%) and indicating poor progression leading to extremity amputations. Due to the systemic manifestations of diabetes, the treatment of diabetic ulcer requires a multidisciplinary approach. Since the pathogenesis is multifactorial; for effective treatment, understanding the underlying factors, revealing the predisposing conditions for the ulcer, eliminating or treating these conditions if possible, is necessary. For efficient treatment of the ulcer; medical, surgical and adjunctive treatment options should be known and should be used in combination if necessary for salvage of the extremity. Considering that diabetes is a chronic disease; in the follow-up process; the patients should be explained about the risk factors in the pathogenesis and ways to protect them, to prevent the formation of new ulcers.

Keywords: diabetes, diabetic foot, foot ulcer