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            [0] => Diabetic Foot: Epidemiological, Diagnostic, Therapeutic, and Evolutionary Aspects
        )

    [etablissement] => Array
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            [0] => Hôpital militaire de Tunis
        )

    [nom] => Array
        (
            [0] => Rihab
        )

    [prenom] => Array
        (
            [0] => Mastouri
        )

    [email] => Array
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            [0] => rihabmastouri40@gmail.com
        )

    [telephone] => Array
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            [0] => 92378683
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    [auteurs] => Array
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            [0] => 
 
Nom prénom / Name Surname: Rihab Mastouri
Email: rihabmastouri40@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Khaled Khelil
Email: drkhelilbloc@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Serine Ghrissi
Email: Ghrissisirine@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Mohamed Manai
Email: manai95mohamed@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Achref abdenadher
Email: 
Hôpital / Hospital: Hôpital militaire de Tunis

 
Nom prénom / Name Surname: Khalil Amri
Email: akhalil.kh@gmail.com
Hôpital / Hospital: Hôpital militaire de Tunis

        )

    [mots_cles] => Array
        (
            [0] => diabetic foot, multidisciplinary team, neuropathy;

        )

    [event-id] => Array
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            [0] => 3663
        )

    [statut] => Array
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            [0] => 1
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            [0] => none
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    [user_email] => Array
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            [0] => rihabmastouri40@gmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction 
Type 2 diabetes is a common condition with a high prevalence, often resulting in various macro and microangiopathic complications. Among these complications, diabetic foot stands out as a frequent and severe issue, often leading to a heightened risk of amputation and significantly impacting the patient's quality of life. 
The aim of our study was to screen for this complication among patients consulting at the orthopedic service of the Military Hospital of Tunis.
Methods
This is a prospective and observational study conducted at the orthopedic service of the Military Hospital of Tunis over a period of 3 months using data from the patient's clinical examination and routine blood tests.
Resultat
 Twenty patients were included, 60% of whom were male, with a mean age of 56. Regarding the progression of diabetes, the average duration was 9.8±7.2 years. The average consultation delay was 4 ± 2 months. The majority of our patients had associated metabolic syndrome in 80% of cases. For diabetes treatment, 10% were on dietary regime alone, 50% on oral antidiabetic drugs (ADO), 20% on ADO + insulin, and only 10% on insulin therapy alone. Regarding laboratory findings, the mean fasting blood glucose was 2.3± 0.8 g/l with a mean glycosylated hemoglobin of 8.7± 2.5%. Foot lesions were the discovery circumstance of diabetes in 20% of cases. Regarding foot lesion history, 15 patients had ulcers with good progression, only one patient had toe amputation, and two patients had trans-femoral amputation. Regarding management, half of the patients treated their lesions with iodine alone, and only one patient had a prescription for custom-made foot orthosis with specialized management. Currently, 4 patients presented with a recurrence of foot lesions, accounting for 20% of cases.
Conclusions 
In conclusion, diabetic foot remains a public health problem. Combating diabetic foot requires not only prevention through patient education but also, and above all, a multidisciplinary approach to management.
        )

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