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Management of diabetic foot ulcers: a narrative review

  • Jahyung Kim (Department of Orthopaedic Surgery, Armed Forces Yangju Hospital) ;
  • Otgonsaikhan Nomkhondorj (Department of Orthopaedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Chi Young An (Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital) ;
  • Ye Chan Choi (Department of Orthopaedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Jaeho Cho (Department of Orthopaedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University)
  • Received : 2023.06.26
  • Accepted : 2023.08.10
  • Published : 2023.10.31

Abstract

Diabetic foot ulcers (DFUs) are among the most serious complications of diabetes and are a source of reduced quality of life and financial burden for the people involved. For effective DFU management, an evidence-based treatment strategy that considers the patient's clinical context and wound condition is required. This treatment strategy should include conventional practices (surgical debridement, antibiotics, vascular assessment, offloading, and amputation) coordinated by interdisciplinary DFU experts. In addition, several adjuvant therapies can be considered for nonhealing wounds. In this narrative review, we aim to highlight the current trends in DFU management and review the up-to-date guidelines.

Keywords

Acknowledgement

This study was supported by the Hallym University Research Fund.

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