Abstract
Diabetic foot syndrome is one of the most serious chronic complications of diabetes. The combination of neuropathy and ischemia threatens the patient with ulcerations, gangrene, osteomyelitis, and phlegmons with the threat of amputation.
It can also be a destructive disease of the bones and joints of the leg - the so-called neuropathic Charcot osteoarthropathy. The basis of the treatment of diabetic foot syndrome is active weight loss.
Treatment depends on many factors and must always be comprehensive: . diabetes compensation (pharmacotherapy) . adequate relief. revascularization. debridement (including biological - larval therapy). a new method of debridement is the so-called hydrosurgery using the "Versajet" system. application of growth factors, potentially also stem cells. skin transplants. Vacuum Assisted Closure (V.A.C.) . in the treatment of Charcot osteoarthropathy (CHOA) also recalcification therapy with bisphosphonates or calcitonin. treatment of infection.