Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 43-46 , January 2010

Limb-threatening and Life-threatening Diabetic Extremities: Clinical Patterns and Outcomes in 56 Patients

  • Jean Bahebeck

      Affiliations

    • Consultant Orthopaedic Surgeon, Central Hospital of Yaoundé; Associated Professor of Orthopaedics, Faculty of Medicine, University of Yaoundé I, Cameroun
    • Corresponding Author InformationAddress correspondence to: Jean Bahebeck, Central Hospital of Yaoundé, Associated Professor of Orthopaedics, Faculty of Medicine, University of Yaoundé I, bp 25095, Yaoundé, Cameroun.
    • ,
  • Eugene Sobgui

      Affiliations

    • Consultant Endocrinologist, Central Hospital of Yaoundé; Assistant Professor of Endocrinology, Faculty of Medicine, University of Yaoundé I, Cameroun
    • ,
  • Loic Fonfoe, MD

      Affiliations

    • Resident, Central Hospital of Yaoundé, Yaoundé, Cameroun
    • ,
  • Bernadette Ngo Nonga

      Affiliations

    • Consultant Surgeon, University Hospital Centre of Yaounde, Lecture in Surgery, Faculty of Medicine, University of Yaoundé I, Cameroun
    • ,
  • Jean Claude Mbanya

      Affiliations

    • Consultant Endocrinologist, Central Hospital of Yaoundé; Professor of Endocrinology, Faculty of Medicine, University of Yaoundé I, Cameroun
    • ,
  • Maurice Sosso

      Affiliations

    • Consultant Surgeon, General Hospital of Yaoundé; Professor of Surgery, Faculty of Medicine, University of Yaoundé I, Cameroun

References 

  1. International Working Group on the Diabetic Foot: International Consensus on the Diabetic Foot [CD-ROM]. International Diabetes Foundation, Brussels, May 2003.
  2. Lipsky BA. A report from the International Consensus Group on Diagnosing and Treating the Infected Diabetic Foot. Diabetes Metab Res Rev. 2004;20(suppl 1):S68–S77
  3. Sumpio BE, Aruny J, Blume PA. The multidisciplinary approach to limb salvage. Acta Chir Belg. 2004;104(6):647–653
  4. Ozalay M, Ozkoc G, Akpinar S, Hersekli MA, Tandogan RN. Necrotizing soft-tissue infection of a limb: clinical presentation and factors related to mortality. Foot Ankle Int. 2006;27(8):598–605
  5. Schröpfer E, Rauthe S, Meyer T. Diagnosis and misdiagnosis of necrotizing soft tissue infections: three case reports. Cases J. 2008;1(1):252
  6. Demirağ B, Tirelioğlu AO, Sarisözen B, Durak K. Necrotizing fasciitis in the lower extremity secondary to diabetic wounds. Acta Orthop Traumatol Turc. 2004;38(3):195–199
  7. Weisenfeld LS, Luzzi A, Picciotti J. Nonclostridial gas gangrene. J Foot Ankle Surg. 1990;29:141–146
  8. Finkelstein B, Kamble R, Ferdinando E, Mobarakai N. Autoamputation of the foot caused by untreated gas gangrene: a case report. J Foot Ankle Surg. 2003;42(6):366–370
  9. Davis CA, Valentine RJ. Wet gangrene in hemodialysis patient with calciphylaxis is associated with a poor prognosis. Cardiovasc Surg. 2001;9(6):565–570
  10. Tang WM, Ho PL, Fung KK, Yuen KY, Leong JC. Necrotizing fasciitis of the limb. J Bone Joint Surg Br 83-B:709–714. 2001;
  11. Zgonis T, Stapleton JJ, Girard-Powell VA, Hagino RT. Surgical management of diabetic foot infections and amputations. AORN J. 2008;87(5):935–946

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00383-4

doi: 10.1053/j.jfas.2009.08.011

Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 43-46 , January 2010

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