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Current Issue - November 2020, Volume 14, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Diabetic Foot Management: How Could a Procedural Pathway Improve the Surgical Outcome?


  1. Mandereau-Bruno L, Denis P, Fagot-Campagna A, Fosse-Edorh S. Prévalence du diabète traité pharmacologiquement et disparités territoriales en France en 2012 / Prevalence of people pharmacologically treated for diabetes and territorial variations in France in 2012. Bull Epidemiol Hebd (Paris). 2014; (30-31): 493-9.
  2. Ministry of Health Malaysia. The National Health and Morbidity Survey 2015 (NHMS 2015) Vol II: Non-Communicable Diseases, Risk Factors and Other Health Problems. Malaysia: Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia; 2015. 291 p. MOH/S/IKU/52.15 (RR)
  3. Geiss LS, Wang J, Cheng YJ, Thompson TJ, Barker L, Li Y, et al. Prevalence and incidence trends for diagnosed diabetes among adults aged 20 to 79 years, United States, 1980-2012. JAMA. 2014; 312(12): 1218-26. doi: 10.1001/jama.2014.11494
  4. Ministry of Health Malaysia. Clinical Practice Guidelines on Management of Diabetic Foot Second Edition. Malaysia: Malaysian Health Technology Assessment Section (MaHTAS); 2018. 58 p. MOH/P/PAK/411.18(GU)-e
  5. Levine SE, Myerson M. Foot and Ankle Disorders. Philadelphia: WB Saunders; 2000. Management of ulceration and infection in the diabetic foot; p 413-38.
  6. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005; 293(2): 217-28. doi:10.1001/jama.293.2.217
  7. Prompers L, Huijberts M, Apelqvist J, Jude E, Piaggesi A, Bakker K, et al. High prevalence of ischaemia, infection and serious comorbidity in patients with diabetic foot disease in Europe. Baseline results from the Eurodiale study. Diabetologia. 2007; 50(1): 18-25. doi: 10.1007/s00125-006-0491-1
  8. Wang AH, Xu ZR, Ji LN, Diabetics with Amputation Study Group Chinese Diabetes Society, China. [Clinical characteristics and medical costs of diabetics with amputation at central urban hospitals in China]. Zhonghua Yi Xue Za Zhi. 2012; 92(4): 224-7.
  9. Fosse S, Hartemann-Heurtier A, Jacqueminet S, Ha Van G, Grimaldi A, Fagot-Campagna A. Incidence and characteristics of lower limb amputations in people with diabetes. Diabet Med. 2009; 26(4): 391-6. doi: 10.1111/j.1464-5491.2009.02698.x
  10. Kow RY, Low CL, Ruben JK, Zaharul-Azri MZ, Lim BC. Predictive Factors of Major Lower Extremity Amputations in Diabetic Foot Infections: A Cross-sectional Study at District Hospital in Malaysia. Malays Orthop J. 2019; 13(3): 45-52. doi: 10.5704/MOJ.1911.008
  11. Allahabadi S, Haroun KB, Musher DM, Lipsky BA, Barshes NR. Consensus on surgical aspects of managing osteomyelitis in the diabetic foot. Diabet Foot Ankle. 2016; 7: 10.3402/dfa.v7.30079. doi: 10.3402/dfa.v7.30079
  12. Lipsky BA, Berendt AR, Cornia PB, Pile JC, Peters EJG, Armstrong DG, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis. 2012; 54(12): e132-73. doi: 10.1093/cid/cis346
  13. Lipsky BA, Aragón-Sánchez J, Diggle M, Embil J, Kono S, Lavery L, et al. IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes. Diabetes Metab Res Rev. 2016; 32 Suppl 1: 45-74. doi: 10.1002/dmrr.2699
  14. Sagray BA, Malhotra S, Steinberg JS. Current therapies for diabetic foot infections and osteomyelitis. Clin Podiatr Med Surg. 2014; 31(1): 57-70. doi: 10.1016/j.cpm.2013.09.003
  15. Acar E, Kac─▒ra BK. Predictors of Lower Extremity Amputation and Reamputation Associated With the Diabetic Foot. J Foot Ankle Surg. 2017; 56(6): 1218-22. doi: 10.1053/j.jfas.2017.06.004
  16. Besse JL, Leemrijse T, Deleu PA. Diabetic foot: the orthopedic surgery angle. Orthop Traumatol Surg Res. 2011; 97(3): 314-29. doi: 10.1016/j.otsr.2011.03.001
  17. Frykberg RG, Zgonis T, Armstrong DG, Driver VR, Giurini JM, Kravitz SR, et al. Diabetic Foot Disorders: A Clinical Practice Guideline (2006 Revision). J Foot Ankle Surg. 2006; 45(5 Suppl): S1-66. doi: 10.1016/S1067-2516(07)60001-5
  18. Bakker K, Apelqvist J, Schaper NC, International Working Group on the Diabetic Foot Editorial Board. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev. 2012; 28 Suppl 1: 225-31. doi: 10.1002/dmrr.2253
  19. Apelqvist J, Bakker K, van Houtum WH, Schaper NC, International Working Group on the Diabetic Foot (IWGDF) Editorial Board. Practical guidelines on the management and prevention of the diabetic foot: based upon the International Consensus on the Diabetic Foot (2007) Prepared by the International Working Group on the Diabetic Foot. Diabetes Metab Res Rev. 2008; 24 Suppl 1: S181-7. doi: 10.1002/dmrr.848
  20. DiDomenico L, Flynn Z, Reed M. Treating Charcot Arthropathy Is a Challenge: Explaining Why My Treatment Algorithm Has Changed. Clin Podiatr Med Surg. 2018; 35(1): 105-21. doi: 10.1016/j.cpm.2017.08.012
  21. Ramanujam CL, Stapleton JJ, Zgonis T. Diabetic charcot neuroarthropathy of the foot and ankle with osteomyelitis. Clin Podiatr Med Surg. 2014; 31(4): 487-92. doi: 10.1016/j.cpm.2013.12.001
  22. Wang C, Mai L, Yang C, Liu D, Sun K, Song W, et al. Reducing major lower extremity amputations after the introduction of a multidisciplinary team in patient with diabetes foot ulcer. BMC Endocr Disord. 2016; 16: 38. doi: 10.1186/s12902-016-0111-0
  23. Wu T, Chaer RA, Society for Vascular Surgery Young Surgeons Committee, Salvo NL, American Podiatric Medical Association Young Physicians’ Leadership Panel. Building Effective Partnerships Between Vascular Surgeons and Podiatric Physicians in the Effective Management of Diabetic Foot Ulcers. J Am Podiatr Med Assoc. 2016; 106(4): 308-11. doi: 10.7547/15-062

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About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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