Description: This second edition of a very practical book of diabetic foot care is well illustrated, mostly with color plates, many graphically illustrating this potentially devastating disease in the lower extremities. The book is arranged into six stages, from the normal foot through to the unsalvageable foot. A chapter on surgical management of the diabetic foot is appropriately included.
Purpose: An area of medical specialization that was once largely ignored, treatment of the diabetic foot is now recognized as an integral part of the management of diabetes, whether pedal complications exist or not. This book handsomely meets the author's objectives to bring us a book that tackles this condition in all its manifestations.
Audience: This book is written for all involved in the treatment of the diabetic foot. It provides a solid basic core for students, and it is a valuable, practical reference for those who may not deal with this aspect of diabetic management on a regular basis. Dr. Edmonds, a professor of medicine and leader of the King's College Hospital Diabetic Foot Clinic, is a recognized expert in the team approach to management of this condition.
Features: The book covers all of the significant areas of the foot in diabetes, from the normal, through the neuropathic, vascularly impeded, ulcerated, and infected. Each section is peppered with case studies to help illustrate salient points. A particularly enjoyable part of this book is the prologue, which illustrates very well the extent of the problem globally. Also entertaining for the reader, each section (which incidentally is color coded for ease of reference) carries a quote from a Shakespeare play appropriate to the topic. Print quality is excellent, and reference material is as current as any book can be. Surgical management of the diabetic foot, a poorly covered topic in the first edition, has been considerably improved. The major shortcoming of the book is that many of the treatment approaches are based upon the experiences of the author's institution. While in principle this is fine, different approaches and responsibilities are used in other parts of the world. This is particularly true in the United States where podiatrists have a considerably expanded role, both medically and surgically. To his credit, Dr. Edmonds has tried to address this by including an American podiatrist as one of the co-authors.
Assessment: This is excellent. It is the second edition of a book that was named as the British Medical Association's Book of the Year in 2004 no small achievement for a book focusing on a largely previously ignored area. The new edition carries more information and reflects the ever burgeoning rate of pedal complications from diabetes and the ever growing number of healthcare professionals who are being entrusted with the care of these patients. Highly recommended.