Description
This excellently illustrated book offers clear guidance on diabetic foot reconstruction based on a multidisciplinary and practical approach. In the past, the ulceration and necrosis associated with diabetic foot very frequently necessitated amputation. Now, microsurgical reconstruction of the diabetic foot, a procedure in which the author is an acknowledged expert, offers a means of saving the foot while also greatly improving long-term survival rates. The book covers all aspects of diabetic foot reconstruction with the aim of equipping readers with the knowledge required in order to achieve optimal outcomes. Preoperative evaluation is explained and full instruction provided on debridement, infection control, and vascular intervention – the key steps in preparing for a successful reconstruction. All stages in reconstruction are then described and illustrated, covering selection of the recipient vessel and flap, flap elevation, and microanastomosis. Guidance is also provided on toe and transmetatarsal amputation and surgical offloading procedures. Finally, the essentials of postoperative care are presented.
Table of Contents
Understanding Diabetes for Reconstruction.- Vasculopathy in Diabetic Foot.- Diabetic Neuropathy.- Understanding Infection.- Understanding Wound Bed Preparation.- Elective Surgery in the Diabetic Foot to Heal Foot Ulcerations and Prevent Re-ulceration.- "When and How to Prepare for Surgery.- When and how to perform Local flap.- When and how to Perform Free Flaps.- BKA with TMR are Changing the Options in Limb Salvage.- Understanding Autologous Stem Cell as Future Minimal Invasive Modalities for Treatment.
