DIABETIC NEURO-OSTEOARTHROPATHY-HISTORICAL BACKGROUND (LITERATURE REVIEW)

Gatina Landysh Nafikovna, Koreyba Konstantin Aleksandrovich, Minabutdinov Aidar Ramilevich

The enormous social significance of diabetes mellitus is caused by the occurrence of serious complications leading to complete disability and early death. One of the most serious complications of diabetes is diabetic foot syndrome-a complex of anatomical and functional changes that develops against the background of late complications of diabetes mellitus, such as diabetic neuropathy, microangiopathy, macroangiopathy, contributing to increased traumatization and damage to the soft tissues of the foot with the progression of the purulent-necrotic process. In advanced cases, SDS leads to necrosis of the foot tissues, gangrene and amputation. Despite the improvement of diagnostics, preventive examinations, the introduction of more and more effective methods of treatment, the number of patients with this pathology continues to increase in arithmetic progression, taking all the signs of an epidemic. This defines the above pathology as socially significant, invasive, combined with economic costs. SDS is a combination of pathological changes in the feet in the form of trophic ulcers with lesions of the skin and soft tissues, and in severe cases-bones and joints, purulent-necrotic processes, specific changes in peripheral nerves, damage to the vessel wall. A wide variety of pathologies from the point of view of a narrow specialist determines the weak curability of this syndrome. This article will address the issues of the swinging history of occurrence, pathogenesis, clinical picture, difficulties in diagnosis, treatment of the disease of SDS.

Keywords:diabetes mellitus, diabetic foot syndrome, amputations, microangiopathy, macroangiopathy, neuropathy