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1
Brand PW: “The Diabetic Foot,” in Diabetes Mellitus: Theory and Practice, 3rd Ed, ed by M Ellenberg, H Rifkin, p 803, Medical Examination Publishing, New York, 1983..
-
2
Cavanagh PR, Ulbrecht JS, Caputo GM: Biomechanical aspects of diabetic foot disease: aetiology, treatment, and prevention. .Diabet Med 13: (suppl 1):S17. ,1996. .
-
3
Armstrong DG, Peters EJG, Athanasiou KA, et al: Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration. ?J Foot Ankle Surg 37::303. ,1998. .
-
4
Armstrong DG, Athanasiou KA: The edge effect: how and why wounds grow in size and depth. .Clin Podiatr Med Surg 15::105. ,1998. .
-
5
Armstrong DG, Nguyen HC, Lavery LA, et al: Offloading the diabetic foot wound: a randomized clinical trial. .Diabetes Care 24::1019. ,2001. .
-
6
Armstrong DG, Jude EB: The role of matrix metalloproteinases in wound healing. .JAPMA 92::12. ,2002. .
-
7
Jude EB, Rogers AA, Oyibo SO, et al: Matrix metalloproteinase and tissue inhibitor of metalloproteinase expression in diabetic and venous ulcers. .Diabetologia 44: (suppl 1):A3. ,2001. .
-
8
Nwomeh BC, Liang HX, Cohen IK, et al: MMP-8 is the predominant collagenase in healing wounds and nonhealing ulcers. .J Surg Res 81::189. ,1999. .
-
9
Steed DL, Donohoe D, Webster MW, et al, for the Diabetic Ulcer Study Group: Effect of extensive debridement and treatment on the healing of diabetic foot ulcers. .J Am Coll Surg 183::61. ,1996. .
-
10
Attinger CE, Bulan E, Blume PA: Surgical debridement: the key to successful wound healing and reconstruction. .Clin Podiatr Med Surg 17::599. ,2000. .
-
11
American Diabetes Association: Consensus Development Conference on Diabetic Foot Wound Care: 7-8 April 1999, Boston, Massachusetts. .Diabetes Care 22::1354. ,1999. .
How and Why to Surgically Debride Neuropathic Diabetic Foot Wounds
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Wound debridement, when systematically performed, may be as important as off-loading in reducing the prevalence of chronic inflammatory by-products in a wound and thus in converting a chronic wound into an acute one. Although it has been suggested that aggressive surgical debridement of wounds may be beneficial, there have been few, if any, technical descriptions of this aspect of therapy. It is therefore the purpose of this article to describe the general principles, process, and technique of outpatient surgical debridement of noninfected, nonischemic neuropathic diabetic foot wounds performed at the authors’ institutions. The authors hope to foster further discussion leading to improvement in the process and the prevalence of such debridement. (J Am Podiatr Med Assoc 92(7): 402-404, 2002)
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