4.5 Article

Debridement of Diabetic Foot Ulcers

Journal

ADVANCES IN WOUND CARE
Volume 11, Issue 12, Pages 666-686

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/wound.2021.0016

Keywords

debridement; diabetes; dressings; foot ulcers; public health

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Diabetic foot ulcerations can lead to severe complications, and debridement is a common treatment method involving both nonmechanical and mechanical approaches. These methods help promote wound healing and reduce complications.
Diabetic foot ulcerations have devastating complications, including amputations, poor quality of life, and life-threatening infections. Diabetic wounds can be protracted, take significant time to heal, and can recur after healing. They are costly consuming health care resources. These consequences have serious public health and clinical implications. Debridement is often used as a standard of care. Debridement consists of both nonmechanical (autolytic, enzymatic) and mechanical methods (sharp/surgical, wet to dry debridement, aqueous high-pressure lavage, ultrasound, and biosurgery/maggot debridement therapy). It is used to remove nonviable tissue, to facilitate wound healing, and help prevent these serious outcomes. What are the various forms and rationale behind debridement? This article comprehensively reviews cutting-edge methods and the science behind debridement and diabetic foot ulcers.

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