Interdisciplinary co-operation taking as an example the diabetic foot syndrome - A problem of the 'co-operation of rational egoists'? [Interdisziplin?re versorgung am beispiel des diabetischen fu?syndroms - Ein problem der 'kooperation rationaler egoisten'?]

摘要

The diabetic foot syndrome is simple to treat, requires a good co-operation of different occupations and medical technical disciplines. This co-operation is organizational improvable also 20 years after the St. Vincent-declaration. Careful neurological and vascular examination leads to the diagnosis. Therapeutically, surgical reconstructions, balloon angioplasty or stent implantations are necessary in patients with significant PAOD (peripheral arterial occlusive disease). However, the overwhelming majority has a symmetric peripheral neuropathy. Even after successful intervention of concomitant PAD physicians must pay attention to a careful foot supply for the avoidance of mal perforans.