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Clinical management of diabetic ulcers.
Clin Geriatr Med. 2013 May;29(2):433-41
Authors: Thomas DR
Abstract
The presence of neuropathy is the most important factor in the development of a diabetic ulcer, whereas inadequate vascular supply is the most important factor in healing. Diabetic foot ulcers are complex wounds that require a long time to heal. A key element in treating diabetic wounds is to off-load, or remove, pressure from an insensate foot. Topical wound dressings are aimed at providing a moist wound environment. No single dressing has been shown to be superior to another. Clinical infections are common but probably overdiagnosed. The question of how much and how often a diabetic foot wound needs to be debrided is controversial.
PMID: 23571038 [PubMed - in process]