INTRODUCTION Diabetes mellitus is a major risk factor for atherosclerosis and consequently lower limb ischaemia. This study aimed at screening hospitalised diabetic patients for lower limb ischaemia by measuring their ankle brachial pressure index (ABI). METHODS ABI was measured, utilising handheld Doppler ultrasound, for 100 patients with type 2 diabetes mellitus, who were admitted to the su...

As the prevalence of diabetes mellitus continues to rise, innovative medical and surgical treatment options have increased dramatically to address diabetic-related foot and ankle complications. Among the most challenging clinical case scenarios is Charcot neuroarthropathy associated with soft tissue loss and/or osteomyelitis. In this review article, the authors present a review of the most comm...

This chapter serves as a primer on the pathophysiology of both diabetes mellitus and Charcot arthropathy for the orthopedic surgeon. In regards to diabetes we will focus on the pathophysiology as it pertains to musculoskeletal manifestations of the disease process. The pathophysiology that underlies the development of diabetes is beyond the scope of this chapter. We will discuss both the histor...

BACKGROUND Peripheral arterial disease is a common condition in the hemodialysis population with an estimated prevalence ranging from 17-48%. Many studies have been conducted to know the prevalence of peripheral vascular disease in hemodialysis population. However no such study has been conducted so far in Nepal. OBJECTIVE This study was carried out with an objective to assess the prevalence ...

Background: Diabetes mellitus is increasing among the population. If early diagnosis and treatment can be done, complications reduced. Although there are studies evaluating impact of diabetes on joint motion, limited examining ankle range motion its correlation with duration or severity diabetic neuropathy symptoms. This study aims to examine angle dorsiflexion it’s symptoms Methods: Descriptiv...

INTRODUCTION The purpose of our study was to examine the relationship between ankle dorsiflexion (DF) range of motion (ROM) and stiffness measured at rest (passively) and plantar loading during gait in individuals with and without diabetes mellitus (DM) and sensory neuropathy. Specifically, we sought to address three questions for this at-risk patient population: (1) Does peak passive DF ROM pr...

Charcot neuroarthropathy (CN) is a severe joint disease in the foot and ankle that can result in fracture, permanent deformity, and limb loss. It is a serious and potentially limb-threatening lower-extremity late complication of diabetes mellitus. The aim of this manuscript was to evaluate modern concepts of chronic CN through a review of the available literature and to integrate a perspective ...