Cover
Title page
Copyright page
Contents
Acknowledgements
Preface
Abbreviations
1: Introduction
New Approach to the Diabetic Foot
Modern Management of the Diabetic Foot
Assessment
Classification
Staging
Intervention
Assessing the Diabetic Foot
Neuropathy
Ischaemia
Deformity
Callus
Swelling
Skin breakdown
Infection
Necrosis
Integrated examination
Classifying the Diabetic Foot
The neuropathic foot
The ischaemic foot
Staging of the Diabetic Foot
Intervention
Multidisciplinary foot management
2: Managing Stage 1: the normal foot
Presentation and Diagnosis
Management
Mechanical control
Metabolic control
Educational control
3: Managing Stage 2: the high-risk foot
Presentation and Diagnosis
Management
Mechanical control
Vascular control
Metabolic control
Educational control
Painful Neuropathy
Presentation
Management
4: Managing Stage 3: the ulcerated foot
Presentation and Diagnosis
Neuropathic ulcer
Neuroischaemic ulcer
Management
Mechanical control
Wound control
Microbiological control
Vascular control
Metabolic control
Educational control
Charcot Osteoarthropathy
Early presentation of active Charcot osteoarthropathy
Late presentation of active Charcot osteoarthropathy
Treatment of active Charcot osteoarthropathy
Surgical reconstruction of the unstable hindfoot
Treatment of non-active Charcot osteoarthropathy
Follow-up of patients with Charcot foot
5: Managing Stage 4: the infected foot
Presentation and Diagnosis
Presentation of infection
Management
Microbiological control
Wound control
Vascular control
Mechanical control
Metabolic control
Educational control
6: Managing Stage 5: the necrotic foot
Presentation and Diagnosis
Wet necrosis
Dry necrosis
Management
Wound control
Microbiological control
Vascular control
Mechanical control
Metabolic control
Educational control
7: Managing Stage 6: the unsalvageable foot
Presentation
Major Amputation
Preoperative care
Perioperative care
Postoperative care
Rehabilitation
Palliative care
Appendix: Problems of differential diagnosis
Further reading
Index