Surgical Decision-MakingEmergency Medical Responsediabetesdry gangreneperipheral arterial diseasesepsiswet gangreneabove knee amputationbelow knee amputationforefoot amputationfootlimbneuronstoevascular surgery
What can cause foot problems in people with diabetes?
Mr Ernest Barlow-Kearsley discusses the factors that can contribute to development of foot problems in the feet of people with diabetes.
Transcript (auto-generated)
This transcript was generated automatically and may contain errors.
contributing factors is damage to the neurons to the foot. So what are the other kind of changes that lead to the development of a diabetic foot? Essentially diabetes is a multi-organ complication and one of the complications is peripheral arterial disease and with peripheral arterial disease you can get either dry gangrene or wet gangrene and this means that the patient has end arterial failure in other words is a blockage and the toe will die essentially and fall off and this may be dry gangrene or you might have a wet gangrene with ascending cellulitis and can make the patient very ill and they could become septic and in those cases that's an emergency and they may need a forefoot amputation or a below knee amputation or sometimes above knee amputation depending obviously on whether the vascular surgeon has determined at what level they have a patent supply of blood to the foot or limb.
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