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En los últimos años ha crecido el interés por el conocimiento y manejo de las complicaciones del pie diabético. El aumento de la incidencia de la diabetes mellitus y las nuevas terapias nos llevan a buscar un abordaje multidisciplinar de excelencia que nos permita reducir el número de amputaciones. El cirujano ortopédico debe conocer los procesos patológicos y tratar sus complicaciones (úlceras, infecciones, deformidades y neuroartropatía de Charcot), ya que un 15% de los pacientes diabéticos presentarán una úlcera en el pie, porcentaje similar al de los pacientes que presentarán una enfermedad de Charcot si su diabetes tiene más de 10 años de evolución.
Palabras clave:
Pie diabético
Úlcera neuropática
Enfermedad de Charcot
Osteomielitis del pie
In recent years there has been increasing interest in the knowledge and management of diabetic foot complications. The highest incidence of diabetes mellitus and new therapies lead us to look for a multidisciplinary approach to excellence, allowing us to reduce the number of amputations. The orthopedic surgeon should know the pathological processes and treat its complications: ulcerations, infections, deformities and Charcot neuroarthropathy. Approximately 15% of diabetic patients will develop an ulcer on the foot, similar to the percentage of patients that present a Charcot in the case of more than 10 years of evolution diabetes.
Key words:
Diabetic foot
Neuropathic ulceration
Charcot foot disease
Osteomyelitis
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