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Therapie

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Der diabetische Fuß

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Zusammenfassung

Die Therapie des diabetischen Fußes kann nur interdisziplinär und fachübergreifend gelingen. Im Rahmen der konservativen Therapie stellt das TIME-Konzept ein erfolgreiches Modell dar. Neben der konservativen Lokaltherapie und Wundbehandlung und der sachgerechten Infektionstherapie kommt der Optimierung der Gefäßsituation und somit der Sauerstoff- und Nährstoffversorgung im Wundareal ein besonderer Stellenwert zu. Die Gefäßrekonstruktion erfolgt idealerweise minimal-invasiv radiologisch interventionell oder bei ausgeprägten Befunden durch entsprechende gefäßchirurgische Maßnahmen. Bei Notwendigkeit einer Amputation sollte eine Minor- (unterhalb des Knöchels) oder auch Syme-Amputation angestrebt werden, um eine möglichst große Mobilität des Patienten zu erhalten. Sofern nötig müssen selbstverständlich auch Major-Amputationen durchgeführt werden. Bei größeren und komplizierten Gewebsdefekten ist zusätzlich die Expertise des plastisch-rekonstruktiv tätigen Chirurgen gefragt.

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Authors and Affiliations

  1. Klinikum Stuttgart – Bad Cannstatt Klinik für Endokrinologie, Diabetologie und Geriatrie, Akademisches Lehrkrankenhaus der Universität Tübingen, Prießnitzweg 24, 70374, Stuttgart

    Prof. Dr. med. R. Lobmann

  2. Fachärztin für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates, Hirslanden Klinik Birshof, Reinacherstr. 28, CH-4142, Münchenstein

    Prof. Dr. med. A. Eckardt

  3. HoppeConsult, Maxim-Gorki-Str. 9, 06484, Quedlinburg

    Dr. med. H.-D. Hoppe

  4. Klinik für Gefäßchirurgie, Arzt für Gefäßchirurgie, Ludwig-Erhard-Str. 100, 65199, Wiesbaden

    PD Dr. med. A. Neufang (Direktor)

  5. Klinik und Poliklinik für diagnostische und interventionelle Radiologie, Johannes-Gutenberg-Universität, Langenbeckstr. 1, 55101, Mainz

    Dr. med. S. Schadmand-Fischer

  6. Klinik und Poliklinik für Neurologie, Johannes-Gutenberg-Universität, Langenbeckstr. 1, 55101, Mainz

    Prof. Dr. med. F. Birklein

  7. Institut für Labormedizin, Mikrobiologie und Krankenhaushygiene, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg

    Priv.-Doz. Dr. med. A. Ambrosch

  8. Klinik für Plastische, Hand- und Mikrochirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Marienstr. 37, 30171, Hannover

    Dr. med. J. Kopp

  9. Universitätsklinikum Erlangen-Nürnberg Frührehabilitation, Krankenhausstr. 12, 91054, Erlangen

    Prof. Dr. med. R.E. Horch

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  1. Prof. Dr. med. R. Lobmann
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  3. Dr. med. H.-D. Hoppe
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  5. Dr. med. S. Schadmand-Fischer
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  6. Prof. Dr. med. F. Birklein
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  7. Priv.-Doz. Dr. med. A. Ambrosch
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  8. Dr. med. J. Kopp
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  9. Prof. Dr. med. R.E. Horch
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Corresponding authors

Correspondence to R. Lobmann , A. Eckardt , R. Lobmann , H.-D. Hoppe , A. Neufang PD , S. Schadmand-Fischer , F. Birklein , A. Ambrosch , A. Eckardt , J. Kopp or R. Horch .

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  1. Hirslanden-Klinik Birshof, Münchenstein, Schweiz

    Anke Eckardt

  2. Klinikum Stuttgart, Stuttgart, Deutschland

    Ralf Lobmann

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Lobmann, R. et al. (2015). Therapie. In: Eckardt, A., Lobmann, R. (eds) Der diabetische Fuß. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38425-7_4

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  • DOI: https://doi.org/10.1007/978-3-642-38425-7_4

  • Publisher Name: Springer, Berlin, Heidelberg

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