Foot Diabeticum

Ulkus Kaki Diabetik

Kaki pada pasien dengan diabetes melitus yang
mengalami perubahan patologis akibat infeksi,
ulserasi yang berhubungan dengan abnormalitas
neurologis, penyakit vaskular perifer dengan
derajat bervariasi, dan atau komplikasi metabolik
dari diabetes pada ekstrimitas bawah

Prevalensi ulkus kaki diabetik

Populasi diabetes 4 10% ulkus kaki diabetik

60-80%

ulkus akan sembus sendiri

10-15%

akan tetap aktif

5-25% akan berakhir pada amputasi

Faktor Risiko

Neuropati
diabetic

Penyakit
arteri perifer

Trauma pada
kaki

Diabetic Foot Ulcer Treatment

Modalities
Microbiological
Wound

control

control
Vascular control
Mechanical control
Metabolic control
Educational control

Diabetic Foot Ulcer Treatment

Multidisciplenary

approach
Staging dictate the treatment
option
Continuity of care & life long
observation

Amputation in Diabetic Patient

Increased minor\major amputation increased the no. of deformed feet

Minor amputation is needed :

*Gangrene
*As part of debriment
*for correction of foot deformities

Minor amputation doesnt significantly compromise walking ability

Major Amputation

Risk of loss walking ability

Mortality
Risk of contra-lateral amputation

Strict indication

Careful choice of the level

How To Prevent Foot Problems

5 corner stones

Regular inspection & examination of foot & foot wear

Identification of high risk patient

Education of patient, family & health care providers

Appropriate foot wear

Treatment of non ulcerative pathology