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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2013, Number 2

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Ortho-tips 2013; 9 (2)

Surgical treatment of neuropathy and diabetic foot

Delgadillo BVH

Language: Spanish
References: 11
Page: 104-110
PDF size: 287.29 Kb.


ABSTRACT

Diabetes mellitus type 2 (type 2 diabetes) is the most common cause of autonomic and peripheral neuropathy, affecting more than 50 percent of patients with this disease. Peripheral nerves accumulate high levels of glucose by way of the chemical osmotic process, causing an increase in their intraluminal size and pressure, resulting in the fibers being replaced by water. Peripheral neuropathy will become the primary cause of amputations in the world due to non-traumatic causes.The triple decompression microsurgery technique, developed more than 15 years ago by Dr. Lee Dellon in the Institute of Peripheral Nerve Surgery in Baltimore, Maryland, USA, has demonstrated success, including diminished pain, recovery of motor functions and sensitivity, and in general, changing the natural degenerative progression of neuropathy and diabetes. The complications of the peripheral nerve in diabetes cannot adhere to only one course of treatment. This makes it absolutely necessary to have a very clear pathophysiological classification of the problem and determination of the stage the patient is at when they arrive for consultation. Only this can allow for making the best decisions for the course of treatment, with the firm objective of improvement of the patient’s condition and the avoidance of amputation of the extremity.


REFERENCES

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