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Diabetic heel ulcers: a major risk factor for lower extremity amputation.
Ostomy Wound Manage. 2004 Jun; 50(6):50-60.OW

Abstract

Of all the ulcers seen in patients with diabetes, heel ulcers are the most serious and often lead to below-the-knee amputation. Management of heel ulcers requires a thorough knowledge of the major risk factors for ulceration in the heel area and a standardized program of local ulcer care, metabolic control, early control of infection, and improvement of blood supply to the foot. The most common risk factors for ulceration in the heel region include immobility of the lower limbs, diabetic neuropathy, structural deformity, and peripheral arterial occlusive disease. Patient education regarding foot hygiene, skin care, and proper footwear is crucial to reducing the risk of an injury that can lead to heel ulceration. A careful foot examination that tests for neuropathy and arterial insufficiency can identify patients at risk for heel ulcers and appropriately classify patients with ulcers into different grades to design proper therapeutic plans for management. Team management programs that focus on education, prevention, regular foot examinations, aggressive intervention, and proper use of therapeutic measures can significantly reduce the risk of lower-extremity amputations from heel ulcers.

Authors+Show Affiliations

Diabetic Foot Clinic, Jordan University Hospital, Amman, Jordan 11942. niyounes@ju.edu.joNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15218204

Citation

Younes, Nidal A., et al. "Diabetic Heel Ulcers: a Major Risk Factor for Lower Extremity Amputation." Ostomy/wound Management, vol. 50, no. 6, 2004, pp. 50-60.
Younes NA, Albsoul AM, Awad H. Diabetic heel ulcers: a major risk factor for lower extremity amputation. Ostomy Wound Manage. 2004;50(6):50-60.
Younes, N. A., Albsoul, A. M., & Awad, H. (2004). Diabetic heel ulcers: a major risk factor for lower extremity amputation. Ostomy/wound Management, 50(6), 50-60.
Younes NA, Albsoul AM, Awad H. Diabetic Heel Ulcers: a Major Risk Factor for Lower Extremity Amputation. Ostomy Wound Manage. 2004;50(6):50-60. PubMed PMID: 15218204.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diabetic heel ulcers: a major risk factor for lower extremity amputation. AU - Younes,Nidal A, AU - Albsoul,Abla M, AU - Awad,Hamzeh, PY - 2004/6/26/pubmed PY - 2004/8/11/medline PY - 2004/6/26/entrez SP - 50 EP - 60 JF - Ostomy/wound management JO - Ostomy Wound Manage VL - 50 IS - 6 N2 - Of all the ulcers seen in patients with diabetes, heel ulcers are the most serious and often lead to below-the-knee amputation. Management of heel ulcers requires a thorough knowledge of the major risk factors for ulceration in the heel area and a standardized program of local ulcer care, metabolic control, early control of infection, and improvement of blood supply to the foot. The most common risk factors for ulceration in the heel region include immobility of the lower limbs, diabetic neuropathy, structural deformity, and peripheral arterial occlusive disease. Patient education regarding foot hygiene, skin care, and proper footwear is crucial to reducing the risk of an injury that can lead to heel ulceration. A careful foot examination that tests for neuropathy and arterial insufficiency can identify patients at risk for heel ulcers and appropriately classify patients with ulcers into different grades to design proper therapeutic plans for management. Team management programs that focus on education, prevention, regular foot examinations, aggressive intervention, and proper use of therapeutic measures can significantly reduce the risk of lower-extremity amputations from heel ulcers. SN - 0889-5899 UR - https://www.unboundmedicine.com/medline/citation/15218204/Diabetic_heel_ulcers:_a_major_risk_factor_for_lower_extremity_amputation_ L2 - http://www.o-wm.com/content/diabetic-heel-ulcers-a-major-risk-factor-lower-extremity-amputation DB - PRIME DP - Unbound Medicine ER -