6 voices in 10 minutes: Conservative surgical treatment of the diabetic foot
DOI:
https://doi.org/10.47196/diab.v54i3Sup.448Keywords:
diabetic foot, diabetic foot, treatment, treatmentAbstract
6 voices in 10 minutes: Diabetic foot
Conservative surgical treatment of diabetic foot
The progress in the treatment of diabetic foot in recent decades is remarkable. Multidisciplinary work where before there were “ad eternum” referrals, and amputations almost as the first choice. Before starting with the amputations we will describe how the evolution of the pathology leads to anatomical changes that alter gait by generating a rigid foot. These are muscle hypotrophy, tendon weakness, thickening of the plantar fascia and Achilles tendon, limitation of flexion-extension of the first metatarso-phalangeal joint. This rigid foot generates a gait pattern that we call “conservative.” This includes: reduction in speed, shorter step length, greater width of the base of support (step width), lengthening of double support time and reduction in the range of ankle mobility (affects propulsion).
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