부산대학교 도서관

Foot ulceration remains among the most common of the long-term diabetic complications, but it also potentially the most preventable. No single factor exists in foot ulceration; ulcers result from a number of component factors. The most common triad is neuropathy (insensitivity), deformity, and trauma. In a recent study, vascular disease was present in only 35 percent of new patients presenting at diabetic foot clinics. In the assessment of neuropathy in order to identify those patients at potential risk, the symptoms are of little or not use as many patients with high risk insensitive feet are completely asymptomatic. Simple clinical measurements such as assessment of peripheral sensation and reflexes, together with perception of pressure using monofilaments can easily be used to identify the high risk neuropathic foot. Early identification of those at risk together with regular review and education are the keystones to reducing the high incidence of neuropathic and neuroischemic foot ulcers.