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The Diabetic Foot: Medical and Surgical Management / Edition 1

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In The Diabetic Foot: Medical and Surgical Management, 3rd Edition, a distinguished panel of clinicians provides a thorough update of the significant improvements in knowledge surrounding the pathogenesis of diabetic foot problems, as well as the optimal healthcare treatment for this debilitating condition. The authors, many practicing at the famous Joslin-Beth Israel Deaconess Foot Center, again illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of diabetic foot. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, this invaluable third edition, so timely given the continued rise of diabetes and its complications, clearly describes established techniques known to be effective. This updated edition blends new knowledge with the time-tested principles of diabetic foot management and will be of significant value to all physicians and researchers with an interest in a state-of-the-art understanding of diabetic foot.

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Editorial Reviews

From The Critics
After an overview of the principles of care for diabetes and its complications as the number of diabetic patients grows, 22 contributions examine multidisciplinary aspects of diabetic foot disease—the primary cause of patients' hospitalization. Such factors include: escalating health care costs, the physiology and pathophysiology of wound healing, diabetic polyneuropathy, clinical features and diagnosis of microvascular and macrovascular disease, foot biomechanics, radiographic changes, treatment of infections and chronic wounds, local and surgical care, amputation and rehabilitation, living skin equivalents for ulcers, noninvasive surgical procedures, and preventive footwear. Includes b&w and eight color plates of presenting symptoms, and photos of accommodative footwear. The editors are at Beth Israel Deaconess Medical Center in Boston, MA. Annotation c. Book News, Inc., Portland, OR (
Doody's Review Service
Reviewer: Martin C. Yorath, DPM (Rosalind Franklin University of Medicine and Science)
Description: Now in its third edition, this is one of the few books on the diabetic foot that manages to put it all together, as is suggested by the subtitle: Medical and Surgical Management. First published in 2002, with a subsequent edition in 2006, this edition has expanded details on the pathogenesis of the diabetic foot.
Purpose: It is based upon the many of years of experience achieved by members of one of the oldest multidisciplinary diabetic foot centers in the world. As diabetes continues to make its presence felt in epidemic proportions on a global scale, this book is not only desirable, but also necessary. The objectives are met!
Audience: Written primarily for physicians, surgeons, and nurses who are involved in the treatment of the foot and ankle in diabetes, it will be of use to others too, including researchers, residents, and students. For podiatrists particularly, this book will prove extremely useful. The authors are recognized nationally and internationally in this field, and they are supported by more than 50 contributors from various specialties and backgrounds.
Features: The 26 chapters are grouped into four parts covering clinical features, pathophysiology (expanded from the previous edition), management, and preventive care. There is good use of color plates, diagrams, and tables and, overall, the appearance of the book is pleasing. Its main drawback is its physical size. At some 530-plus pages in hardcover, it is more of a reference than a readily usable book.
Assessment: This is a staple for those involved in the treatment of the diabetic foot. This book does it all in terms of addressing this problem on a more comprehensive basis than others do. Its main competitors are Managing the Diabetic Foot, 2nd edition, Edmonds and Foster (Blackwell, 2005) and others by the same authors, including Diabetic Foot Care: Case Studies in Clinical Management, Foster and Edmonds (Wiley-Blackwell, 2011). Surgical Reconstruction of the Diabetic Foot and Ankle, Zgonis (Lippincott Williams & Wilkins, 2009) clearly offers more on technique. The strength of this book is its comprehensive approach, which will be the distinguishing factor from its competitors.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780896039254
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 3/4/2002
  • Edition number: 1
  • Pages: 490
  • Product dimensions: 7.10 (w) x 10.20 (h) x 1.20 (d)

Meet the Author

Aristidis Veves, MD, DSc
Beth Israel Deaconess Medical Center, Boston, MA, USA

John M. Giurini, DPM
Beth Israel Deaconess Medical Center, Boston, MA, USA

Frank W. LoGerfo, MD
Beth Israel Deaconess Medical Center, Boston, MA, USA

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Table of Contents

Color Plates
1 Introduction to Diabetes: Principles of Care in the Surgical Patient with Diabetes 1
2 Epidemiology and Health Care Costs of Diabetic Foot Problems 35
3 Physiology and Pathophysiology of Wound Healing 59
4 Diabetic Polyneuropathy 75
5 Microvascular Changes in the Diabetic Foot 99
6 Clinical Features and Diagnosis of Macrovascular Disease 113
7 Foot Pressure Abnormalities in the Diabetic Foot 127
8 Biomechanics of the Diabetic Foot: The Road to Foot Ulceration 147
9 Clinical Examination of the Diabetic Foot and Identification of the At-Risk Patient 163
10 Radiographic Changes of the Diabetic Foot 179
11 Microbiology and Treatment of Diabetic Foot Infections 207
12 Charcot Changes in the Diabetic Foot 221
13 Principles of Treatment of the Chronic Wound 247
14 Local Care of the Diabetic Foot 279
15 Surgical Treatment of the Ulcerated Foot 293
16 Amputations and Rehabilitation 317
17 Reconstruction of Soft Tissue Defects of the Foot 345
18 Role of Growth Factors in the Treatment of Diabetic Foot Ulceration 385
19 Living Skin Equivalents for Diabetic Foot Ulcers 397
20 Vascular Surgery for the Diabetic Foot 411
21 Angioplasty of Other Noninvasive Surgical Procedures 429
22 Footwear in the Prevention of Diabetic Foot Problems 445
Index 463
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