Advertisement

Preservation of the Compromised Foot in Diabetic Nephropathy

  • Thomas A. Einhorn
Chapter
  • 80 Downloads
Part of the Developments in Nephrology book series (DINE, volume 9)

Abstract

Lower limb amputation is an ever-present fear for the diabetic patient. Levine has stated that 10% of all hospitalizations for diabetics are caused by infection, and that 25% of these involve the foot [1]. Should amputation of a lower extremity be performed, 42% of diabetics will lose their contralateral limb within two years, and 56% within three to five years [2].

Keywords

Diabetic Nephropathy Metatarsal Head Total Lymphocyte Count Protein Energy Malnutrition Lower Limb Amputation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Levin MC, O’Neal LW. The diabetic foot, Levin ME, O’Neal, LW (eds). St. Louis: C.V. Mosby Co., 1977.Google Scholar
  2. 2.
    Levin ME. The diabetic foot. J Am Podiatry Assoc 66: 825–839, 1976.PubMedGoogle Scholar
  3. 3.
    Goforth P, Gudas CJ. Effects of steroids on wound healing: a review of the literature. J Foot Surg 19: 22–28, 1980.PubMedGoogle Scholar
  4. 4.
    Shamberger RC, Devereux DF, Brennan MF. The effect of chemotherapeutic agents on wound healing. Int Adv Surg Oncol 4: 15–58, 1981.PubMedGoogle Scholar
  5. 5.
    Goldberg M, Lima O, Morgan E, Azabe HA, Luk S, Ferdman A, Peters WJ, Cooper JD. A comparison between cyclosporin A and methylprednisolone plus azathioprine on bronchial healing following canine lung autotransplantation. J Thorac Cardiovasc Surg 85: 821–286, 1983.PubMedGoogle Scholar
  6. 6.
    Efron G. Cyclosporine A impairs wound healing in rats. J Surg Res 34: 572–575, 1983.PubMedCrossRefGoogle Scholar
  7. 7.
    Peters C, Sutherland DER, Simmons RL, Fryd DS, Najarian JS. Patient and graft survival in amputated vs. non-amputated diabetic primary renal allograft recipients. Transplantation 32:- 498–503, 1981.PubMedCrossRefGoogle Scholar
  8. 8.
    Ger R. Muscle transposition in the management of perforating ulcers of the forefoot. Clin Orthop. 175: 186–189, 1983.PubMedGoogle Scholar
  9. 9.
    Ger R. Considerations in the surgical management of ulcers of the foot in the diabetic patient. Diab Nephr 3: 12–14, 1984.Google Scholar
  10. 10.
    Cannon PR, Wissler RW, Woolridge RL, Benditt EP The relationship of protein deficiency to surgical infection. Ann Surg 120: 514–525, 1944.PubMedGoogle Scholar
  11. 11.
    Mullen JL, Gertner MH, Buzby GP, Goodhart GL, Rosato EF. Implications of malnutrition in the surgical patient. Arch Surg 114: 121–125, 1979.PubMedGoogle Scholar
  12. 12.
    Dickhaut SC, DeLee JC, Page CP. Nutritional status: importance in predicting wound healing after amputation. J Bone Joint Surg 66 (A): 71–75, 1984.PubMedGoogle Scholar
  13. 13.
    Bistrain BR, Blackburn GL, Sherman M, Scrimshaw NS. Therapeutic index of nutritional depletion in hospitalized patients. Surg Gynec and Obstet 141: 512–516, 1975.Google Scholar
  14. 14.
    Seltzer MH, Fletcher HS, Slocum BA, and Engler PE. Instant nutritional assessment in the intensive care unit. J Parent and Ent Nutr 5: 70–72, 1981.CrossRefGoogle Scholar
  15. 15.
    Shetty DS, Jung RT, Watrasiewicz KE, James WPT. Rapid-turnover transport proteins: an index of subclinical protein energy malnutrition. Lancet 2: 230–232, 1979.PubMedCrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishing, Boston 1986

Authors and Affiliations

  • Thomas A. Einhorn

There are no affiliations available

Personalised recommendations