The engagement of orthopaedic surgeons in diabetic foot care in England.

Content Provider	Europe PMC
Author	Robinson, A. H. N. Garg, Parag Kirmani, Sayyied Allen, Patricia
Copyright Year	2022
Abstract	AimsDiabetic foot care is a significant burden on the NHS in England. We have conducted a nationwide survey to determine the current participation of orthopaedic surgeons in diabetic foot care in England.MethodsA questionnaire was sent to all 136 NHS trusts audited in the 2018 National Diabetic Foot Audit (NDFA). The questionnaire asked about the structure of diabetic foot care services.ResultsOverall, 123 trusts responded, of which 117 admitted patients with diabetic foot disease and 113 had an orthopaedic foot and ankle surgeon. A total of 90 trusts (77%) stated that the admission involved medicine, with 53 (45%) of these admissions being exclusively under medicine, and 37 (32%) as joint admissions. Of the joint admissions, 16 (14%) were combined with vascular and 12(10%) with orthopaedic surgery. Admission is solely under vascular surgery in 12 trusts (10%) and orthopaedic surgery in 7 (6%). Diabetic foot abscesses were drained by orthopaedic surgeons in 61 trusts (52%) and vascular surgeons in 47 (40%).ConclusionOrthopaedic surgeons make a significant contribution to both acute and elective diabetic foot care currently in the UK. This contribution is likely to increase with the movement of vascular surgery to a hub and spoke model, and measures should be put in place to increase the team based approach to the diabetic foot, for example with the introduction of a best practice tariff.Cite this article: Bone Jt Open 2022;3(8):618–622.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9422902&blobtype=pdf
Journal	Bone & Joint Open [Bone Jt Open]
Volume Number	3
PubMed Central reference number	PMC9422902
Issue Number	8
PubMed reference number	35909341
e-ISSN	26331462
DOI	10.1302/2633-1462.38.bjo-2022-0025.r1
Language	English
Publisher	The British Editorial Society of Bone & Joint Surgery
Publisher Date	2022-08-01
Publisher Place	London
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ © 2022 Author(s) et al.
Subject Keyword	Diabetic foot Foot and ankle Orthopedics NHS consultant orthopaedic surgeons diabetic foot ulcers orthopaedic surgery vascular surgeons Vascular surgery foot and ankle surgeons Ankle Diabetes
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery