Pathophysiology:
Neuropathy
Vascular disease
Impaired immune system
Loss of vibration sense: OR 12
PAD: OR 10
Presence of osteomyelitis: OR 5
Recent study showed that 1-2 sessions of patient education had no effect on ulcer recurrence compared to control group without education sessions
High risk of foot function loss in case of radical resection of infected bone
Severe deficiency in foot perfusion without chance of revascularization
Infection confined to the forefoot with only a minimal loss of soft tissue
Excessive surgical risk according to patients general conditions