C

cadexomer-iodine 80 calcanectomy, partial 198—200 dressings/postoperative care 200 operative technique 199-200 calcaneum, neuropathic fractures 50,51 calcification, arteries and veins (medial wall) bleeding after debridement and 75 pressure index and 11,81 callus 4

after arterial bypass surgery 130

around neuroischaemic ulcers 63,75 around neuropathic ulcers 63

podiatric removal 73,74 masking infection 102,103,104-5 plantar skin grafts 78 preulcerative 40-1 podiatric removal 41 removal by informal carers 41 stump 178 see also corns Candida albicans nail infections 22 Canestan 24 cannabis 49 capsaicin cream 49 carbamazepine 49

carcinoma see basal cell carcinoma; squamous cell carcinoma cardiac failure 86,88,96 cardiovascular assessment 135,164 care, diabetic foot advances ix-xi failures vii-viii routine self 32 see also management carers, informal, removal of callus 41 cast disease 67 cast phobia 67 cast protectors 162,170 casts

Charcot's osteoarthropathy 52-3,54,55, 56-7,59 postoperative 135,200 ulcerated neuropathic foot 66-70 see also total-contact cast cast walkers, removable 69-70 cefadroxil 81,116

in renal failure 118 ceftazidime 103,116 in renal failure 118 in wet necrosis 163 ceftriaxone 116 in cellulitis 120 in renal failure 118 cefuroxime, in renal failure 118 cellulitis 13,14

clinical presentations 105-9 differential diagnosis 43,53,110-11 incision and drainage 184-7 indications for surgery 117

subcutaneous necrosis with severe 107-9,124-7,129-30 systemic signs and symptoms 108-9 wound care 128-30 see also abscesses; infections cetrimide-based cleansing agents 80 Charcot restraint orthotic walker (CROW) 57- 8,59 Charcot's osteoarthropathy 6,7,51-60 acute onset 52-4 bony destruction/deformity 54-6 differential diagnosis 53-4,110-11 follow-up 59 forefoot 55-6,56 fractures precipitating 50,51,52 hindfoot (ankle) 56,57-9 knee 59,70 major amputation 174

metastatic infection 109-10 mid-foot 56-7 ulceration 91-2 see also rockerbottom deformity patient education 59-60 radiological consolidation/stabilization 56-9 surgery precipitating 133 surgical management 184,212-18 complications 218 indications and criteria 212 with non-healing ulcer 90,93 operative procedures 212-18 ulcers 56,62,91-2,93 chemical burns 78,95 chilblains 26

Chopart amputation 204,205,207-8,210-12 outcome 208,212 technique 210 cilostazol 42 ciprofloxacin 81,116 in local infection 117 in osteomyelitis 127 in renal failure 118 Citrobacter 115,144 classification diabetic foot 12-13 infections 105 ulcers 62-5 claudication, intermittent 42 claw toes 7,39,187,788 cleaning, necrotic foot 162,170 cleansing agents, ulcer 80 clindamycin 115,116,117 in osteomyelitis 127 in renal failure 118 in wet necrosis 163 clinics, diabetic foot ix-x, 15 clopidogrel 30,42

Clostridium perfringens infection 154

clotrimazole 24

cocaine 135-6

co-dydramol 85

cold foot 9

cold sensation, testing 11 colour foot 7

ulcer base 63 common foot problems 19 common peroneal nerve palsy 9 complications of diabetes 2-3,183 contact dermatitis 27

continuous ambulatory peritoneal dialysis (CAPD), antibiotic doses 118-19

continuous arteriovenous haemofiltration (CAVH), antibiotic doses 118-19 corns 4,5

felt padding 39-40 management 39-40 proprietary removal remedies 45, 78,95 cortisone injections 96 costs, amputation 174 C-reactive protein (CRP) 111 serial measurement 120,121

crepitus 9,109,185

CROW (Charcot restraint orthotic walker) 57-8,59

crutches 71,73

cryotherapy, warts 25

cuboid, ostectomy 213-14

cyanosis 141

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