MEDICAL AND SURGICAL-MANAGEMENT OF SEPTIC DIABETIC FOOT

Infected wounds in diabetic patients are still frequent and the main c ause of amputations. The experience of 180 patients admitted for foot lesions between june 1988 and september 1993 shows us the importance o f combined medical and chirurgical cares. Non invasive vascular evalua tion is reliable and often sufficient for preoperative vascular assess ment. Total excision of infected and necrotic tissues is essential for the control of septic conditions. Conservative surgery can be conside red a possibility as atypic amputations and adapted footwear may allow quick recovery and early walking. Resigned attitudes and pejorative o utlooks are out-of-date, when faced with a diabetic foot problem. Opti mal metabolic control and full preoperative assessment guide surgical possibilities.