More than 400 million people worldwide suffer from diabetes. The UN estimates that this will rise by more than 50 percent by 2040. Symptoms of this disease include, amongst others, diabetic foot syndrome. Here, OTWorld takes a look at surgical and conservative treatment options.
Surgical treatment of diabetic foot deformities
Ulcerated diabetic feet not only cause difficulties for patients, they are also a challenge for the treatment team. Conservative therapies with inserts, special shoes and orthoses often fail to do the job because of significant deformities, which often cause ulceration when subjected to pressure. In such cases, an operation is the only option to reduce pressure by correcting the deformities. With this in mind, a symposium organised by the Association of Diabetic Foot Surgeons (A-DFS) and chaired by Dr. Armin Koller, from the Mathias-Spital in Rheine (Germany), will be dedicated to the ‘ Surgical treatment of complex diabetic foot deformities – An international perspective by A-DFS’. Four lectures, in all, will deal with the functioning of the residual stump after partial foot amputation, rehabilitation following reconstructive surgery, wound relief for diabetic feet, and on-going or acute correction of Charcot foot deformities.
How not to amputate the Charcot foot
Charcot foot is one of the functionally most dangerous complications for diabetes sufferers. Just how important the cooperation of an interdisciplinary team is, in order to be able to identify and treat this and to manage risks, will be adumbrated in a symposium chaired by Dr. Tjerk de Ruiter from ISPO Netherlands and Rob Verwaard from Wittepoel. In addition to an introduction to Charcot foot, the focus will be on an interdisciplinary approach to investigating it, as well as on the latest technologies and techniques for early diagnosis and treatment.
Diabetes: protective shoe, surgical shoe
There will, at OTWorld, be a course on ‘ Protective shoes and surgical shoes for diabetes’. It is organised in collaboration with ISPO Germany and led by Michael Möller, owner of Möller Orthopädie Schuh Technik and Senior Chair of ISPO Germany. Consideration will be given to indications for the use of a surgical shoe, an offloading shoe and a diabetic safety shoe, international fitting concepts for patients with diabetic foot syndrome and issues relating to the quality of surgical shoes and diabetic safety shoes for diabetic foot syndrome.