Systematic Review of Therapeutic Care in Diabetic Patients with Orthopedic Problems based on Radiological Points in ICU & OR

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Mohamad Keramati, Maryam Khalili, Majid Khalilizad, Emad Khoshdel, Shima Sadat Aghahosseini


Diabetes is a very common disease that affects one out of three adults. Diabetic neuropathy is one of the most probable complications that occurs as a side effect of diabetes and due to the effect of high blood sugar on nerve fibers throughout the body. Neuropathy is a pathological complication that has more than a hundred different types and occurs as nerve damage in diabetic and non-diabetic patients. Diabetic neuropathy can trigger a cascade of events and even lead to more serious complications. Just like diabetes itself, peripheral neuropathy does not have a definitive treatment; It is only possible to manage the disease and stop its progress. Diabetic foot is one of the complications of diabetes that occurs in the feet. In general, diabetic foot is one of the common problems of people with diabetes, as a result of which the patient may lose his foot. For this reason, diabetics must take special care to prevent infection and uncontrollable wounds. High blood sugar and uncontrolled diabetes for a long time cause damage to the nerves of the legs and decrease the blood flow in the lower limbs, including the legs, because the leg is in the lowest part of the body and the blood supply to this area may be less. The findings of this research have shown that neuropathy caused by diabetes may cause various pains and even physical injuries to the feet in addition to causing numbness or lack of sensation in the feet. Neuropathy can cause the skin to become dry and damaged. The result of these skin injuries are calluses and various wounds on the feet. In addition to ugliness, pain and discomfort, leg ulcers slow down and reduce blood flow and cause; The situation is worse than before. Numbness of the feet in this situation makes it extremely difficult to take care of the feet. An ordinary person feels the pain as soon as his leg is injured, and as a result, whether he wants to or not, his attention is drawn to his feet and he takes care of them.

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