Abstract
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.
Keywords
diabetes - foot - ulcer - infection - amputation
