TAILIEUCHUNG - DIABETIC FOOT DISORDERS A CLINICAL PRACTICE GUIDELINE

The prevalence of diabetes mellitus is growing at epidemic proportions in the United States and worldwide (1). Most alarming is the steady increase in type 2 diabetes, especially among young and obese persons. An estimated 7% of Americans are afflicted with diabetes, and with the longevity of this population increasing, the prevalence of diabetesrelated complications will continue to rise. Foot disorders are a major source of morbidity and a leading cause of hospitalization for persons with diabetes. Ulceration, infection, gangrene, and amputation are significant complications of the disease, estimated to cost billions of dollars each year. | SEPTEMBER OCTOBER 2006 VOLUME 45 NUMBER 5 A Supplement to The . Journal Me Surgery DIABETIC FOOT_ Disorders A CLINICAL PRACTICE GUIDELINE An official publication of the American College of Foot and Ankle Surgeons Development and publication of this Clinical Practice Guideline was made possible by an Educational Grant Co-Sponsored by Johnson Johnson Wound Management a division of ETHICON INC. and KCI USA Inc. Wound Management A division of ETHICON INC fKCI The Clinical Advantage Supplement to . The Joujjnal Ankle Surgery DIABETIC FOOT DISORDERS A CLINICAL PRACTICE GUIDELINE 2006 revision Robert G. Frykberg DPM MPH 1 Thomas Zgonis DPM 2 David G. Armstrong DPM PhD 3 Vickie R. Driver DPM MS4 John M. Giurini DPM 5 Steven R. Kravitz DPM 6 Adam S. Landsman DPM PhD 7 Lawrence A. Lavery DPM MPH 8 J. Christopher Moore DPM 9 John M. Schuberth DPM 10 Dane K. Wukich MD 11 Charles Andersen MD 12 and John V. Vanore DPM13 Address correspondence to Robert G. Frykberg DPM MPH Chief Podiatric Surgery Carl T Hayden VA Medical Center Phoenix AZ 85012. Email 1Chair Diabetes Panel Phoenix AZ 2 San Antonio TX 3 North Chicago IL 4 Evanston IL 5 Boston MA 6 Richboro PA 7 Boston MA 8 Georgetown TX 9 Ashville NC 10 San Francisco CA 11 Pittsburgh PA 12 Seattle WA 13 Chair Clinical Practice Guidelines Core Committee Gadsden AL . The Journal Su lement to of Foot kJ epple menm e wJt Ankle Surgery DIABETIC FOOT DISORDERS A CLINICAL PRACTICE GUIDELINE 2006 revision ABSTRACT The prevalence of diabetes mellitus is growing at epidemic proportions in the United States and worldwide. Most alarming is the steady increase in type 2 diabetes especially among young and obese people. An estimated 7 of the US population has diabetes and because of the increased longevity of this population diabetes-associated complications are expected to rise in prevalence. Foot ulcerations infections Charcot neuroarthropathy and peripheral arterial disease frequently result in gangrene

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