Foot Ulcers Flashcards
1
Q
What percent of diabetics have foot ulcer?
A
12%
Responsible for ~85% of lower extremity amputations
2
Q
How many ulcers that probe to bone have osteomyelitis?
A
67%
3
Q
What studies are important in a DFU?
A
1) ABI; index > 0.45
2) TCOMs; >30mmHg shows good healing
4
Q
In patients with DFU and Charcot changes what is a good test to help diagnose presence of osteomyelitis?
A
Indium WBC bone scan
5
Q
What is the most important thing when deciding on a Syme amputation for a patient with diabetic foot ulcer?
A
Presence of palpable posterior tibial artery pulse
6
Q
In a patient with low-grade non-helaing ulcer that has failed conservative management, what tx can be considered?
A
TAL or Strayer (gastrocsoleus lengthening)
