■糖尿病足发作(DFA),也被称为糖尿病足溃疡,是糖尿病的严重和潜在的威胁肢体的并发症。它指的是糖尿病患者足部开放性溃疡或溃疡的发展,经常导致感染,组织损伤,and,在极端情况下,截肢。DFA的根本原因是多方面的,涉及各种因素的复杂相互作用,包括周围神经病变,外周动脉疾病,足部畸形,伤口愈合受损,血糖控制不佳。从骨科的角度来看,此病例报告将是首例。
■一位55岁的英国白人绅士,慢性不受控制的2型糖尿病患者,在一个繁忙的待命之夜被医疗队转诊.他突然出现疼痛,肿胀,左脚难以承受重量。他患有足底溃疡超过一年。他的炎症标志物异常高,腿和脚的磁共振成像显示他的脚大量聚集,气体沿后室延伸。诊断为严重的DFA,并进行了紧急清创和冲洗。尽管进行了积极的清创术,患者逐渐恶化,需要进入重症监护病房。在随后的清创和局部抗生素治疗后,他康复并在诊所随访后出院。
■DFA的有效管理策略包括多学科方法。预防措施在减少DFAs的发生率方面起着关键作用。定期足部检查,自我保健教育,血糖控制得当,和足部卫生是预防策略的重要组成部分。关于自我监测的患者教育,合适的鞋,早期发现足部相关并发症对糖尿病患者采取积极措施至关重要.
UNASSIGNED: Diabetic foot attack (DFA), also known as diabetic foot ulceration, is a severe and potentially limb-threatening complication of diabetes mellitus. It refers to the development of open sores or ulcers on the feet of individuals with diabetes, often leading to infections, tissue damage, and, in extreme cases, amputation. The underlying cause of DFAs is multifactorial and involves a complex interplay of various factors, including peripheral neuropathy, peripheral arterial disease, foot deformities, impaired wound healing, and poor glycemic control. This case report would be first of its kind from an orthopedic perspective.
UNASSIGNED: A 55-year-old white British gentleman, a chronic uncontrolled Type 2 diabetic, was referred by the medical team on a busy on-call night. He presented with a sudden onset pain, swelling, and difficulty in weight bearing on his left foot. He had a non-healing plantar ulcer for over a year. His inflammatory markers were abnormally high and magnetic resonance imaging of his leg and foot showed massive collection in his foot with gas extending along the posterior compartment. Diagnosis of a severe DFA was made, and urgent debridement and washout were carried out. Despite aggressive debridement, patient progressively deteriorated warranting an admission into intensive care unit. After subsequent debridement and local antibiotic therapy, he recovered and was discharged with clinic follow-up.
UNASSIGNED: Effective management strategies for DFAs encompass a multidisciplinary approach. Preventive measures play a key role in reducing the incidence of DFAs. Regular foot examinations, self-care education, proper glycemic control, and foot hygiene are essential components of preventive strategies. Patient education regarding self-monitoring, appropriate footwear, and early recognition of foot-related complications is crucial to empower individuals with diabetes to take proactive measures.