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Emphasizing a multidisciplinary team approach, Surgical Reconstruction of the Diabetic Foot and Ankle, 2nd Edition, is an easy-to-follow, well-illustrated guide to the latest surgical techniques in diabetic lower extremity reconstruction. Dr. Thomas Zgonis and an expert team of national and international authors share their extensive knowledge and experience in the surgical treatment of diabetic patients, including challenging clinical scenarios of severe infections, lower extremity deformities, peripheral arterial disease, and soft tissue compromise.
Fully revised and updated edition of this popular book, addressing all issues concerning the diabetic foot, one of the most prevalent problems in diabetes, with a strong emphasis on practical aspects of delivering care.
This concise guide offers an ideal overview of both the practical and theoretical aspects of foot and ankle surgery for trainees and junior consultants. Easy to read chapters cover all areas of surgery, from examination, imaging, and the biomechanics of the foot and ankle, to specific conditions including amputations and prostheses, deformities, arthritis, cavus and flat foot, sports injuries, Achilles tendon, benign and malignant tumors and heel pain. Fractures and dislocations of the ankle, hind-, mid- and forefoot are also covered, as are the foot in diabetes and pediatrics. Written by a team of international experts, the text is an accessible way to prepare for postgraduate examinations and manage patients successfully.
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.
This pioneering textbook is the first one ever on diabetic foot problems. With contributions from a multidisciplinary panel of experts, it presents a comprehensive curriculum on the topic. This includes global and socio-economic aspects of diabetes; a team approach; basic science of the foot (anatomy and biomechanics); clinical assessment and classification systems for diabetic foot problems; endocrine aspects; diabetic foot infections (clinical presentation and management); amputations in diabetic foot surgery (predictive factors, major and distal amputations, rehabilitation and phantom pain management); care of diabetic wounds (including the role of the latest technologically advanced dressings, vacuum dressings, anodyne therapy, ultrasonic debridement and extracorporeal shockwave therapy); and diabetic footcare and diabetic footwear.
​Public and political concern about the increasing prevalence of diabetes has prompted major concern about treatment of patients with the condition. Foot complications are some of the commonest causes of hospitalisation of people with diabetes and if not treated well often lead to amputation. There is evidence that 85% of these amputations can be prevented by better understanding of the problem and by multi-disciplinary teams working more effectively together. This has been recognised and NICE have recently published guidelines on diabetic foot complications as have Diabetes UK and NHS Diabetes. These have been successful in raising awareness of the problem but the local multi-disciplinary teams need clear practical advice on how to manage the foot in diabetes and deliver high quality care. With the current interest in improving outcomes for patients with foot complications this is an ideal time to make a practical evidence-based handbook available. This book will provide clear practical guidelines on how to manage all aspects of the foot in diabetes as well as an in-depth analysis of the most recent evidence. The book will be based on care pathways with algorithms for each section so it would be of practical value in any clinic in primary or secondary care. It will appeal to a wide range of health care professionals treating people with diabetes: vascular surgeons and trainees, orthopaedic surgeons, diabetes specialist nurses, podiatrists and tissue viability nurses.​
Unlike any other podiatric text available, this new textbook focuses on the treatment of skin and soft tissue problems of the foot and ankle area using techniques borrowed from facial plastic surgery, hand reconstructive surgery and general soft tissue plastic surgery fields and modified to be used on the foot and ankle areas. This textbook provides a detailed outline and description of evaluating, examining and documenting lower extremity skin and soft tissue conditions. It addresses these problems with a variety of techniques including suturing, incisional and excisional techniques, along with the appropriate reconstructive and plastic surgical procedures for each condition. - Includes all current techniques of revisional skin surgery and basic plastic surgery - Features an abundance of illustrations and photographs. - Reviews topics such as Preoperative Patient Evaluation, Cutaneous Anatomy, and Surgical Principles of Lower Extremity Surgery to prepare readers for studying the surgical techniques outlined in the text. - Covers excisional techniques and biopsy techniques as they pertain to the foot and ankle. - Outlines and defines the use of plastic surgery techniques - V-Y and Y-V; Z-plasty and W-plasty - for conditions of the foot and ankle and lower leg. These techniques can be used in the foot and ankle region for scar contracture which is a frequent complication of lower extremity surgery. - Includes multiple examples of appropriate techniques for correction of toenail and digital deformities. - Presents a large number of lower extremity soft tissue masses with the appropriate techniques for surgical management. - Outlines the specific indications and techniques for performing the advancement and rotation flaps for the lower extremity; these can be used to provide coverage for soft tissue defects.
Topics include: "What lessons can history teach us about the Charcot foot?", "Medical treatment of Charcot Neuroosteoarthropathy", "Epidemiology of the Charcot Foot", "The Diagnosis of Charcot Foot", "The Natural History of Charcot's Neuroarthropathy", "The Causes of Charcot Syndrome", "Surgical Reconstruction of the Charcot Rear Foot and Ankle", "Surgical Management of Charcot Midfoot Deformities", and "Physical Management of the Charcot Foot."