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2014, Número 1

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Gac Med Mex 2014; 150 (1)


Estándar de oro en el manejo del pie diabético: yeso de contacto total

Lozano-Platonoff A, Mejía-Mendoza MDF, Ibáñez-Doria M, Contreras-Ruiz J

Idioma: Español
Referencias bibliográficas: 67
Paginas: 58-64
Archivo PDF: 357.35 Kb.


RESUMEN

Las complicaciones del pie representan uno de los principales problemas de salud de los pacientes con diabetes mellitus, y la úlcera es una de las lesiones más habituales. Dichas ulceraciones se originan por pequeños traumatismos repetidos sobre un pie neuropático. El manejo inadecuado del pie diabético (PD) puede conducir a una de las complicaciones más graves del paciente diabético: la amputación. La clave para el tratamiento de las úlceras plantares consiste en el control de las comorbilidades (niveles de glucosa y enfermedad vascular), el desbridamiento, el manejo del exudado con los diferentes apósitos existentes, el manejo de la infección y la descarga del pie afectado principalmente. Un error común en el tratamiento básico es el método de descarga, que tiene como resultado el retraso en la cicatrización y la realización de la amputación. Para este fin proponemos el yeso de contacto total (YCT), considerado el estándar de oro en la descarga del PD. El objetivo de la presente revisión es presentar la evidencia existente en la literatura médica sobre la efectividad del uso del YCT para la cicatrización de las úlceras del PD y, por tanto, para prevenir amputaciones.


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