engleski

HYPERBARIC OXYGEN IN DIABETIC FOOT TREATMENT

Diabetic foot is a common problem in diabetic patients and contributes to morbidity and mortality in this population. About 15% of diabetic population are affected. The problems associated with foot ulcers (inflammation, amputation) result in a reduced quality of life, and significant morbidity and mortality in diabetic patients. The major contributing factors for diabetic foot development are diabetic neuropathy leading to foot deformities, elevated peak plantar pressure and callus formation ; penetrating trauma ; and ill-fitting shoes. Peripheral neuropathy has a central role, being present in over 80% of diabetic patients with foot lesions, but ischemia is also a frequent contributing factor. An interdisciplinary approach is mandatory in the treatment of diabetic foot, especially once neuropathic ulcers or inflammation have developed. Hyperbaric oxygen therapy has been used with the aim to improve diabetic foot oxygenation and accelerate healing. The role and place of hyperbaric oxygen in the management of diabetic foot are reviewed.

diabetes; diabetic foot; hyperbaric oxygen therapy

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