Symposium|Fuß und Schuh
Diabetischer Fuß - momentane Konzepte

Zusammenfassung: The diabetic foot demands repetitive, complex decision making. A concise, complete, and time-saving evaluation of the diabetic foot is essential for correct and appropriate decision making. Based on pathophysiological concepts the lecture will give an algorhytmic overview of the non-invasive evaluation of the diabetic foot with special emphasis on biomechanical impairments.

Zusammenfassung: The prevention of diabetic foot ulcers is based on the identification of patients with certain risk factors, the determination of their level of ulcer risk and the implementation of preventive measures, including focused education and provision of protective footwear.

Zusammenfassung: With proper wound care, prompt, appropriate surgery, focused antibiotic therapy and optimum control of metabolic disorders including hyperglycemia, ketosis and nutritional deficiencies, infection can be controlled and a functional foot salvaged in most cases.

Zusammenfassung: This paper outlines a hypothesis linking repetitive biomechanical strain in the functional joints of the foot to atrophic or hypertrophic deterioration. This hypothesis implies that biomechanical factors can allow identification of the foot at risk of Charcot deterioration to be recognised early.

Zusammenfassung: Diabetic foot ulcers due to internal or external pressure zones cause major problems in the treatment of those patients. As a result of the following infections a higher number of amputations occur out of these problems. Therefore pressure release, pressure distribution in the treatment of ulcers or infections, even in the prevention of ulceration on the diabetic foot are of main importance. In the literature there are several techniques of pressure reduction described. International literature mainly deals with a treatment by total contact casting, there is evidence of effectiveness for this technique. Due to the fact that in German speaking countries there is traditionaley a high reputation for orthopaedic shoe fitting and orthotic treatment there are different other approaches as for instance orthopaedic shoe fitting with insoles and rocker bottoms or orthotic treatment with pressure release orthosis. These techniques are discussed with a view on evidence in literature. In the presentation the different ad