Edmonds: A Practical Manual of Diabetic Foot Care 2nd Edition

The first edition of 'A Practical Manual of Diabetic Foot Care' was named ‘Medical Book of the Year 2004’ by the British Medical Association, and we were pleased on behalf of all workers in this difficult field that the importance of the diabetic foot has been thus recognized and acknowledged as a major area of interest.

A new edition is an opportunity to present revised and updated material, together with many new photographs and case studies and descriptions of fresh developments in the field.

In this second edition, the author still emphasize the importance of the simple staging system, as a fundamental part of the approach to the management of the diabetic foot. By applying the staging process to all diabetic foot patients it is possible, through one simple assessment, to detect the conditions that need addressing and plan their treatment using simple but fundamental principles.

The simple staging system has therefore been developed as a practical, treatment-based tool that provides a framework for diagnosing and managing the diabetic foot, and this chapter describes the application of this system through:

• Practical assessment, which consists of history-taking, examination and investigations.
• Classification of the diabetic foot into the neuropathic and neuroischaemic foot.
• Staging the foot. The six specific stages in the natural history of the diabetic foot.
• Management plan for each stage.

The clinical assessment we describe is quick and simple, but will enable the practitioner to make a basic classification and staging and the foot can then be placed into the correct stage, which has specific implications for treatment. Investigations will be needed to assess severity so as to determine treatment.

Following this system will enable the practitioner to make rapid, effective decisions that will detect problems early, organize rapid treatment and prevent deterioration and progression.

All diabetic foot enthusiasts will enjoy this new edition of this Practical Manual, and will find it as useful, practical and easy to use as its predecessor.

Contents 

Acknowledgements

Prologue

1 Introduction

• Practical Assessment
• Classification and Staging
• Multidisciplinary Management
• Practice Points
• Further Reading

2 Stage 1: The Normal Foot

3 Stage 2: The High-risk Foot

4 Stage 3: The Ulcerated Foot

5 Stage 4: The Infected Foot

6 Stage 5: The Necrotic Foot

7 Stage 6: The Unsalvageable Foot

8 Surgical Approach to the Diabetic Foot

Index

About the Author

• Dr Michael E. Edmonds MD, FRCP, Consultant in Diabetes, King's College Hospital, London, is a world-renowned expert on foot problems in diabetes. He has lectured on the topic throughout the world and gave the inaugural Roger Pecoraro Lecture at the American Diabetes Association's annual meeting. He is also Chairman of the Diabetic Foot Study Group of the European Association of the Study of Diabetes.
• Mrs Alethea V. M. Foster BS (Hons) PGCE, MChS, SRCh, DipPodM recently retired as the Chief Podiatrist, King's College Hospital, London, wher she was involved in the development of the UK Government's National Serviec Framework for Diabetes implemented in all hospitals, clinics and primary care practices form 2004. In May 2003, Alethea was the first podiatrist to be awarded the International Diabetic Foot Award, which is only awarded every four years to an indvidual who has played a pivotal role in developing diabetic foot care.
• Dr Lee Sanders DPM, Chief of Podiatry, Acute Cre/Specialty Services, Department of Veterans Affairs Medical Center, Lebanon, PA, USA. He is past President for Health Care and Education of the American Diabetes Association, the first podiatrist in ADA's history to be elected to this prestigious position. Dr Sanders is also a medical historian, with a special interest in the history of diabetes.

Product Details

• Hardcover: 304 pages
• Publisher: Wiley-Blackwell; 2 edition (February 19, 2008)
• Language: English
• ISBN-10: 1405161477
• ISBN-13: 978-1405161473
• Product Dimensions: 7.7 x 0.8 x 10 inches

List Price: $171.95 

 

Katsilambros: Atlas of the Diabetic Foot 2nd Edition

Diabetes mellitus is a common disease all over the world and its frequency is steadily increasing. The availability of a wide variety of treatment options results in improvement or even normalization of hyperglycemia as well as of the accompanying metabolic disorders. However people with diabetes continue to suffer from the complications of the disease.

Diabetic foot-related problems occur frequently and may have serious consequences. Amputations at different anatomical levels are the most serious of them.

The present Atlas represents a systematic description of the many different foot lesions, which are often seen in diabetic patients. Each fi gure corresponds to a case treated in our Diabetes Centre in the Athens University Medical School. Our patients are evaluated and treated in collaboration with the Orthopedic Department as well as with other specialists depending upon individual needs. A short text, which follows each illustration, describes the history of the patient, the physical signs observed, the approach of treatment, and is followed by a short comment.

It is no exaggeration to state that the new (second) edition of this book resulted from the marked success of the first edition. It must also be noted that the problems of the diabetic foot continue to be a major and very serious concern of every society in the world, even those with the best healthcare systems.

This new edition has been enriched with a relatively large number of representative pictures as well as new information. This work has been achieved through the enormous efforts of my colleagues, co-authors of the book, as well as through the technical help of the publisher.

It is hoped that this Atlas will be of assistance, as a reference guide and a teaching instrument, not only to diabetologists and surgeons, but also to all doctors involved in the treatment of diabetic patients. This book might help them not only to recognize and to treat the diabetic foot lesions, but also to prevent them.

- The Authors -

Key Features

• 520 colour photographs, graphs, tables and imaging studies.
• Educational examples taken from genuine case reports.
• A reference guide for identifying patients at risk for foot problems.
• Illustration of common problems such as neuropathic and neuroischaemic ulcers, ischaemia and infection.
• Introduction to new technologies and bioengineered materials used for the treatment of foot ulcers.

Contents

• Acknowledgments, vi
• Preface to the Second Edition, vii
• Preface to the First Edition, viii
• 1 Introduction, 1
• 2 Diabetic Neuropathy, 11
• 3 Anatomic Risk Factors for Diabetic Foot Ulceration, 21
• 4 Other Foot-Related Risk Factors, 48
• 5 Skin and Systemic Diseases with Manifestations in the Feet, 62
• 6 Neuropathic Ulcers, 74
• 7 Peripheral Vascular Disease, 91
• 8 Ischemic and Neuro-Ischemic Ulcers and Gangrene, 106
• 9 Heel Ulcers, 137
• 10 Charcot Foot, 148
• 11 Infections, 169
• 12 Methods of Prevention, 194
• 13 Methods of Ulcer Healing, 200
• 14 Amputations, 224
• Appendix, 243
• Index, 244

About the Authors 

• Nicholas Katsilambros MD, Professor in Internal Medicine Athens University Medical School Eygenideio Hospital and Research Laboratory “Christeas Hall” Athens, Greece.
• Eleftherios Dounis MD, FACS, Director Orthopedia Department Laiko General Hospital Athens, Greece. 
• Konstantinos Makrilakis MD, MPH, PhD, Assistant Professor in Internal Medicine Athens University Medical School 1st Department of Propaedeutic Medicine Laiko General Hospital Athens, Greece.
• Nicholas Tentolouris MD, Asssistant Professor 1st Department of Propaedeutic Medicine Athens University Medical School Laiko General Hospital Athens, Greece.
• Panagiotis Tsapogas MD, Medical and Diabetes Department Medical Bioprognosis Corfu, Greece. 

Product Details

• Hardcover: 260 pages
• Publisher: Wiley-Blackwell; 2 edition (May 11, 2010)
• Language: English
• ISBN-10: 1405191791
• ISBN-13: 978-1405191791
• Product Dimensions: 9.8 x 7.3 x 0.8 inches

List Price: $162.95 

 

Edmonds: A Practical Manual of Diabetic Foot Care 2nd Edition

Since the publication of the first edition of this book, the International Diabetes Federation (IDF) has collected valuable international diabetic foot data for an IDF publication, ‘Time to Act’. Funds have been made available by the European Union for a multinational group, Eurodiale (a European study group for diabetes and the lower extremity), to run multicentre studies to compare outcomes in patients treated in 14 different European diabetic foot centres. The World Diabetes Foundation has funded a successful ‘Step by Step’ programme to improve diabetic foot care in developing countries, initially in India, Bangladesh, Sri Lanka, Nepal and Tanzania. The International Consensus Group on the Diabetic Foot has produced and updated simple and practical guidelines on diabetic foot care that have now been translated into 26 different languages: 80,000 copies have been distributed throughout the world. Robert Frykberg’s team has updated new American guidelines. As a result of these, and many other activities more multidisciplinary diabetic foot clinics than ever before are being established all over the world and a new generation of diabetic physicians is taking a real interest in the foot and regarding its management as an important area of their practice.

The work of the late Jacquie Lloyd Roberts, the UK podiatrist who established a successful group of diabetic foot clinics in Eastern Europe before her untimely death, is being continued by colleagues, and Dr Hermelinda Pedrosa continues to develop a chain of foot clinics in South America. Their work and the work of numerous other individuals and diabetic foot clinic teams, operating in many different parts of the world in very variable conditions, has clearly demonstrated the general principle that outcomes for diabetic foot patients improve when dedicated and enthusiastic individuals and teams organize a multidisciplinary diabetic foot service. With a flexible approach, many problems can be overcome. If key members of the team, such as podiatrists, are not available in certain countries, then doctors or nurses are taking on many aspects of the role of the podiatrist. In the ‘Step by Step’ project, health-care professionals from all over Tanzania were taught podiatry skills by using scalpels on sweet limes.

Successful interventions in the real world do not depend on the possession of high-technology equipment and vast financial budgets. Barriers to care which at first glance appear to be insurmountable can usually be overcome if we learn lessons from our own and other people’s experiences, and, in the words of E. M. Forster, ‘only connect’ with each other.

NEW AREAS COVERED IN THIS EDITION

• A new edition is an opportunity to present revised and updated material, together with many new photographs and case studies and descriptions of fresh developments in the field. The reading lists at the end of each chapter have incorporated recent references. Older references have been retained when they have described fundamental work on the diabetic foot.
• The authors have simplified our system for managing the infected foot and describe three distinct entities, of local infection, spreading infection and severe infection, together with up-to-date details of new antibiotics available for the diabetic foot. They give more information on commonly encountered organisms, and modern methods of diagnosis and management of infections. Infections with methicillinresistant Staphylococcus aureus (MRSA) and other ‘resistant’ organisms, vancomycin-resistant enterococcus (VRE) and bacteria producing extended-spectrum beta-lactamases (ESBLs) are discussed. The table of antibiotics with reduction of dosage in renal impairment has been updated.
• Diabetic foot problems in pregnancy are very rare: describe a case, and include new tables of antibiotics that can safely be taken in pregnancy and by breastfeeding mothers. Infection with Clostridium difficile, as a complication of antibiotic therapy, is also considered.
• We have also updated the management of painful neuropathy. In addition, the section on Charcot’s osteoarthropathy have been revised, describing specific risk factors in type 1 patients compared with type 2 diabetes, and Lee Sanders discusses the latest techniques to reconstruct the unstable or deformed Charcot foot. Always mindful of the importance of the ischaemic foot, particularly when complicated by infection, they have described a fast-track service to deliver immediate vascular assessment and intervention on a day-case basis, where appropriate. They give up-to-date advice on smoking cessation and discuss the impact of Vacuum-assisted Closure (VAC) therapy which has improved outcomes in patients with ischaemic feet.
• Following in the footsteps of the late Roger Pecararo, we have described common pathways to amputation in our chapter on the unsalvageable foot (Chapter 7). Emphasis has been placed on preventing and managing the comorbidities of the diabetic foot patient, which all healthcare professionals should recognize.
• For the first time there are an illustrated description of the partial nail avulsion procedure, the permanent solution to a recurrent ingrowing toe nail. Nail problems are very common in people with diabetes in all countries of the world and we are frequently asked for details of management. Some illustrations have been also added to the descriptions of total-contact cast and Scotchcast boot manufacture.
• All diabetic foot enthusiasts will enjoy this new edition of our Practical Manual, and will find it asuseful, practical and easy to use as its predecessor.

PRACTICE POINTS

• The multidisciplinary diabetic foot service has been developed as a successful model of care throughout the world.
• The triad of early presentation, early diagnosis and early treatment is the key to success.
• Diabetic foot problems are frequently underestimated: there is no such thing as a trivial lesion of the diabetic foot.
• Diabetic foot patients may not know what is best for them once neuropathy and ischaemia develop.
• Increased interest in the diabetic foot over the last 25 years has resulted in major advances in the care of the diabetic foot patient but expensive, high-tech methods are not always needed.

Contents

• Acknowledgements
• Prologue
• 1 Introduction
• 2 Stage 1: The Normal Foot
• 3 Stage 2: The High-risk Foot
• 4 Stage 3: The Ulcerated Foot
• 5 Stage 4: The Infected Foot
• 6 Stage 5: The Necrotic Foot
• 7 Stage 6: The Unsalvageable Foot
• 8 Surgical Approach to the Diabetic Foot
• Index

Book Details

• Hardcover: 304 pages
• Publisher: Wiley-Blackwell; 2 edition (February 19, 2008)
• Language: English
• ISBN-10: 1405161477
• ISBN-13: 978-1405161473

List Price: $171.95