Complex treatment of purular-necrotic complications of diabetic foot syndrome (literature review)

An analysis of the literature on the topic under study was carried out and the main provisions were presented. Diabetic foot syndrome is a pathological condition of the feet of a patient with diabetes, which occurs against the background of damage to nerves, arteries, skin and soft tissues, bones and joints and is manifested by acute and chronic ulcers, osteoarticular lesions, purulent-necrotic processes, and various deformities. Pathogenesis is determined by a combination of a number of factors: microangiopathy, macroangiopathy, polyneuropathy, osteoarthropathy, a disorder in the immune system. Thus, neuropathy is the trigger for the formation of the main signs of DFS. Diabetic polyneuropathy and macroamhepatia cause mutually aggravating pathological processes, which together lead to changes that underlie the formation of purulent-necrotic complications of the diabetic foot.