Diabetic foot disease

Module 4: A surgical viewpoint

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CME Credits: 1
Module duration: 1 hour
Launch date: Autumn 2020 (version 1)
Updated: Winter 2022 (version 2)
Expiry date: March 2027
Audience: Diabetes and Metabolism Specialists (Advanced), Surgeons (Subspeciality)

My name’s Dr Frank Bowling. I’m a Consultant Podiatric Surgeon based here at Manchester Royal Infirmary and a Reader in Translational Medicine Diabetes at the University of Manchester. From a clinical side, I predominantly deal with lower limb reconstruction, with a specific slant on diabetes and how diabetes has a profound impact on the lower limb. I’m sure we all hear on a regular basis about how many amputations are carried out a year and the fact that one amputation is carried out every 20 seconds and part of my job is not just to do the amputation, but to prevent the amputation from happening in the first place.

With one leg amputated due to complications of diabetes somewhere in the world every 20 seconds, podiatric surgeons have an important role to play in diabetes foot care – not just in performing amputations but in helping to prevent them too. This course gives you an overview of the different levels of lower limb amputation and the factors that influence surgical decision making.

Learning Outcomes

By the end of this module, you will be able to:

Explain the different levels of amputation and the factors that influence surgical decision making

Outline the features of diabetic Charcot foot syndrome and surgical and non-surgical management options

Review typical patient case histories of diabetic people with lower limb disease and recommend management options


This module includes self-marked assessments, such as knowledge checks and/or case studies, as well as a marked final assessment, which you can attempt up to five times. To complete the module, you must review all chapters, pass the final assessment (80% pass mark), and fill in our feedback form.


Contributors

Professor
Frank L Bowling
Author
Professor
Rayaz A Malik
Expert Reviewer
Assessment Setter