Elective Surgery in the Diabetic Foot to Heal Foot Ulcerations and Prevent Re-ulceration

Understanding the etiology of diabetic foot ulcerations is essential to understanding treatments and prevention strategies. There is a combination of factors that contribute to the development of foot ulceration in people with diabetes including peripheral neuropathy, macro and micro peripheral arterial disease, structural foot deformity, limited joint mobility, and pressure and shear on the foot. People with diabetes are also prone to traumatic injuries such as puncture wounds and painless fractures and dislocations. The assessment of these variables is largely based on history and physical examination of the foot and ankle.