Diabetesfoten med Hedvig Örneholm

Hej!

I Ortopoddens tredje avsnitt träffar jag Hedvig Örneholm, specialistläkare i ortopedi, som berättar om diabetesfoten. Vi pratar om vad diabetesfoten är, vad ortopeden har för roll i behandlingen och tillstånd som man absolut inte får missa i en diabetesfot.

 

Hedvig Örneholm
Två glada ortopeder spelar in podd!

 

Hedvig Örneholms avhandling “The Diabetic Foot : Plantar forefoot ulcer, heel ulcer and minor amputation” hittar du här.

Utdrag ur avhandlingen:

In summary, the major conclusions from this thesis are the following. Despite long healing time, it is possible for minor amputations to heal in a large proportion of patients with diabetes, although patients are elderly, with extensive co-morbidity and with severe foot ulcers including infection and/or gangrene in many cases. Four out of five patients with diabetes and a plantar forefoot ulcer heal without the need for an amputation. SPVD was present in one out of four patients with plantar forefoot ulcer, indicating the importance of vascular assessment in these patients. Two-thirds of patients with diabetes and a heel ulcer healed without amputation. Following a healed plantar forefoot ulcer the risk of developing a new foot ulcer is high. There is a lack of uniform terminology regarding new foot ulcer development. A concise definition for recurrent and other new foot ulcers is suggested. This may facilitate comparison and enhance scientific discussions.”

 

Hemsidan som Hedvig pratar om som innehåller allt man behöver veta om diabetesfoten hittar du här.

Tre tips:

  • Missa inte plantarabscessen
  • Ha Charcot i bakhuvudet
  • Vid sårrevision – ta ordentligt, bort med allt som är dött och infekterat

 

“For an obstinate ulcer, sweet wine and a lot of patience should be enough”

Hippocrates

Podden hittar du där poddar finns eller här!