Choice of wound care in diabetic foot ulcer: A practical approach

Diabetic foot ulcers are the consequence of multiple factors including peripheral neuropathy,decreased blood supply,high plantar pressures,etc.,and pose a significant risk for morbidity,limb loss and mortality.The critical aspects of the wound healing mechanism and host physiological status in patie...

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Published in:World journal of diabetes Vol. 5; no. 4; pp. 546 - 556
Main Authors: Kavitha, Karakkattu Vijayan, Tiwari, Shalbha, Purandare, Vedavati Bharat, Khedkar, Sudam, Bhosale, Shilpa Sameer, Unnikrishnan, Ambika Gopalakrishnan
Format: Journal Article
Language:English
Published: United States Baishideng Publishing Group Inc 15-08-2014
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Summary:Diabetic foot ulcers are the consequence of multiple factors including peripheral neuropathy,decreased blood supply,high plantar pressures,etc.,and pose a significant risk for morbidity,limb loss and mortality.The critical aspects of the wound healing mechanism and host physiological status in patients with diabetes necessitate the selection of an appropriate treatment strategy based on the complexity and type of wound.In addition to systemic antibiotics and surgical intervention,wound care is considered to be an important component of diabetic foot ulcer management.This article will focus on the use of different wound care materials in diabetic foot.From a clinical perspective,it is important to decide on the wound care material depending on the type and grade of the ulcer.This article will also provide clinicians with a simple approach to the choice of wound care materials in diabetic foot ulcer.
Bibliography:Karakkattu Vijayan Kavitha;Shalbha Tiwari;Vedavati Bharat Purandare;Sudam Khedkar;Shilpa Sameer Bhosale;Ambika Gopalakrishnan Unnikrishnan;Podiatry Department Chellaram Diabetes Institute, Pune 411021, India;Research Department, Chellaram Diabetes In-stitute, Pune 411021, India;Diabetes and Endocrinology Department, Chellaram Diabetes Institute, Pune 411021, India
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Author contributions: Unnikrishnan AG and Kavitha KV contributed to the idea behind the manuscript and to the writing, modification of content, and final approval of the draft; Tiwari S contributed to writing of the manuscript, its modification, and final approval; Purandare VB, Khedkar S and Bhosale SS contributed to writing of the manuscript and its final approval.
Telephone: +91-20-66839717 Fax: +91-20-66839701
Correspondence to: Dr. Ambika Gopalakrishnan Unnikrishnan, Chief Endocrinologist, Diabetes and Endocrinology Department, Chellaram Diabetes Institute, 1st Floor, Lalani Quantum, Bavdhan, Pune 411021, India. unnikrishnanag@gmail.com
ISSN:1948-9358
1948-9358
DOI:10.4239/wjd.v5.i4.546