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Lower extremity limb salvage in diabetic patients: the impossible is possible

https://doi.org/10.14341/DM13245

Abstract

Lesions of the lower extremities in diabetes mellitus are a complex and urgent problem of modern medicine. The high prevalence of diabetes mellitus, significant difficulties in timely diagnosis, differential diagnosis and the choice of therapeutic tactics to preserve the supporting function of the limb determine the difficulties in managing diabetic patients. Over the past decades, significant changes have occurred in the structure of specialized medical care for diabetic foot patients which has significantly reduced the number of high amputations, improved the quality and life expectancy of patients. The article presents the results of the long-term experience of the Diabetic Foot department in the treatment of diabetic foot patients.

About the Authors

G. R. Galstyan
Endocrinology Research Centre
Russian Federation

Gagik R. Galstyan, MD, PhD, Professor

11 Dm. Ulyanova street, 117292 Moscow



E. V. Artemova
Endocrinology Research Centre
Russian Federation

Ekaterina V. Artemova, MD

11 Dm. Ulyanova street, 117292 Moscow



P. S. Bardiugov
Endocrinology Research Centre
Russian Federation

Petr S. Bardiugov

11 Dm. Ulyanova street, 117292 Moscow



O. N. Bondarenko
Endocrinology Research Centre
Russian Federation

Olga N. Bondarenko, MD, PhD, leading research associate

11 Dm. Ulyanova street, 117292 Moscow



Z. N. Dzhemilova
Endocrinology Research Centre
Russian Federation

Zera N. Dzhemilova, MD

11 Dm. Ulyanova street, 117292 Moscow



L. P. Doronina
Endocrinology Research Centre
Russian Federation

Ludmila P. Doronina, MD, PhD

11 Dm. Ulyanova street, 117292 Moscow



D. N. Egorova
Endocrinology Research Centre
Russian Federation

Daria N. Egorova, MD, PhD, senior research associate

11 Dm. Ulyanova street, 117292 Moscow



E. L. Zaitseva
Endocrinology Research Centre
Russian Federation

Ekaterina L. Zaitseva, MD, PhD

11 Dm. Ulyanova street, 117292 Moscow



V. A. Mitish
Endocrinology Research Centre
Russian Federation

Valery V. Mitish, MD, PhD

11 Dm. Ulyanova street, 117292 Moscow



S. V. Sergeeva
Endocrinology Research Centre
Russian Federation

Svetlana V. Sergeeva, MD

11 Dm. Ulyanova street, 117292 Moscow



I. I. Sitkin
Endocrinology Research Centre
Russian Federation

Ivan I. Sitkin, MD, PhD, senior research associate

11 Dm. Ulyanova street, 117292 Moscow



A. Y. Tokmakova
Endocrinology Research Centre
Russian Federation

Alla Y. Tokmakova, MD, PhD

11 Dm. Ulyanova street, 117292 Moscow



M. V. Yaroslavceva
Endocrinology Research Centre
Russian Federation

Marianna V. Yaroslavceva, MD, PhD, senior researcher

11 Dm. Ulyanova street, 117292 Moscow



M. V. Shestakova
Endocrinology Research Centre
Russian Federation

Marina V. Shestakova, MD, PhD, Professor, Academician of the RAS

11 Dm. Ulyanova street, 117292 Moscow



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Supplementary files

1. Figure 1. Outcome of comprehensive treatment in a patient with neuroischemic diabetic foot syndrome using percutaneous transluminal balloon angioplasty of lower leg and foot arteries. A — initial limb appearance and angiography; Б — clinical and angiographic treatment outcome.
Subject
Type Исследовательские инструменты
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2. Figure 2. Surgical correction outcome of midfoot deformity in a patient with neuro-osteoarthropathy. A — pre-treatment foot appearance and multislice CT scan; Б — surgical stages; В — outcome after intervention.
Subject
Type Исследовательские инструменты
View (540KB)    
Indexing metadata ▾
3. Figure 3. Treatment outcome in a female patient with type 2 diabetes mellitus (aseptic necrosis of talus and medial malleolus, loss of limb support function, wound in the area of lateral malleolus apex communicating with a cavity). A — initial appearance and X-ray; B — clinical and radiographic result (secondary wound healing, bone ankylosis formation, restoration of limb support function).
Subject
Type Исследовательские инструменты
View (595KB)    
Indexing metadata ▾

Review

For citations:


Galstyan G.R., Artemova E.V., Bardiugov P.S., Bondarenko O.N., Dzhemilova Z.N., Doronina L.P., Egorova D.N., Zaitseva E.L., Mitish V.A., Sergeeva S.V., Sitkin I.I., Tokmakova A.Y., Yaroslavceva M.V., Shestakova M.V. Lower extremity limb salvage in diabetic patients: the impossible is possible. Diabetes mellitus. 2025;28(1):56-67. (In Russ.) https://doi.org/10.14341/DM13245

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)