The "1-4-4-2" Model for the Diabetic Foot Team

Crystal L Ramanujam; Steven L Stuto; Thomas Zgonis

doi:10.1016/j.cpm.2021.11.013

The "1-4-4-2" Model for the Diabetic Foot Team

Clin Podiatr Med Surg. 2022 Apr;39(2):295-306. doi: 10.1016/j.cpm.2021.11.013.

Authors

Crystal L Ramanujam¹, Steven L Stuto², Thomas Zgonis²

Affiliations

¹ Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 7776, San Antonio, TX 78229, USA. Electronic address: Ramanujam@uthscsa.edu.
² Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 7776, San Antonio, TX 78229, USA.

PMID: 35365327
DOI: 10.1016/j.cpm.2021.11.013

Abstract

The cause of diabetic foot complications is often multifactorial; therefore, expertise from multiple surgical and medical specialties is warranted for improved clinical outcomes. Teamwork should be carefully coordinated with strategic planning and treatment should be adaptable to the given clinical scenario. This article describes the formation and interplay of an effective multidisciplinary team for the treatment of the diabetic foot analogous to that seen in elite team sports.

Keywords: Amputation; Diabetic foot team; Infection; Multidisciplinary approach; Prevention; Surgery.

Publication types

Review

MeSH terms

Diabetes Mellitus*
Diabetic Foot* / surgery
Foot
Humans
Patient Care Team