Foot Ulcers

Question 1

What percent of diabetics have foot ulcer?

Answer 1

12%

Responsible for ~85% of lower extremity amputations

Question 2

How many ulcers that probe to bone have osteomyelitis?

Answer 2

67%

Question 3

What studies are important in a DFU?

Answer 3

1) ABI; index > 0.45

2) TCOMs; >30mmHg shows good healing

Question 4

In patients with DFU and Charcot changes what is a good test to help diagnose presence of osteomyelitis?

Answer 4

Indium WBC bone scan

Question 5

What is the most important thing when deciding on a Syme amputation for a patient with diabetic foot ulcer?

Answer 5

Presence of palpable posterior tibial artery pulse

Question 6

In a patient with low-grade non-helaing ulcer that has failed conservative management, what tx can be considered?

Answer 6

TAL or Strayer (gastrocsoleus lengthening)