CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(04): 389-396
DOI: 10.1055/s-0039-3402462
Artigos de Atualização
Tornozelo e Pé

Diabetic Foot. Part 1: Ulcers and Infections*

Article in several languages: português | English
1  Grupo de Cirurgia do Pé e Tornozelo, Departamento de Ortopedia e Traumatologia da Santa Casa de Misericórdia de São Paulo, Sâo Paulo SP, Brasil
› Author Affiliations


Diabetes is a systemic disease that has achieved epidemic proportions in modern society. Ulcers and infections are common complications in the feet of patients with advanced stages of the disease, and are the main cause of amputation of the lower limb. Peripheral neuropathy is the primary cause of loss of the protective sensation of the feet and frequently leads to plantar pressure ulcers and osteoarticular disruption, which in turn develops into Charcot neuropathy (CN). Common co-factors that add to the morbidity of the disease and the risk of amputation in this population are obesity, peripheral arterial disease, immune and metabolic disorders. Orthopedic surgeons must be aware that the early detection and prevention of these comorbidities, through diligent medical care and patient education, can avoid these amputations.

* Study developed at Foot and Ankle Surgery Group, Department of Orthopedics and Traumatology of Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.

Publication History

Received: 25 June 2019

Accepted: 13 September 2019

Publication Date:
27 April 2020 (online)

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