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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pirogovestnik</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник Национального медико-хирургического центра им. Н.И. Пирогова</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Pirogov National Medical &amp; Surgical Center</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-8255</issn><issn pub-type="epub">2782-3628</issn><publisher><publisher-name>Национальный медико-хирургический Центр им. Н.И. Пирогова</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25881/20728255_2026_21_3_132</article-id><article-id custom-type="elpub" pub-id-type="custom">pirogovestnik-665</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>СОВРЕМЕННЫЕ ТЕНДЕНЦИИ И ПЕРСПЕКТИВЫ ЛЕЧЕНИЯ РАН ПРИ СИНДРОМЕ ДИАБЕТИЧЕСКОЙ СТОПЫ</article-title><trans-title-group xml:lang="en"><trans-title>CURRENT TRENDS AND PROSPECTS IN THE TREATMENT OF WOUNDS IN DIABETIC FOOT SYNDROME</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинина</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinina</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p><p> </p></bio><email xlink:type="simple">prokoptsova1999@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сапронова</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Sapronova</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трандофилов</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Trandofilov</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Простов</surname><given-names>И. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Prostov</surname><given-names>I. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Божко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bozhko</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернышенко</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernyshenko</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ростовский государственный медицинский университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>03</day><month>09</month><year>2026</year></pub-date><volume>21</volume><issue>3</issue><fpage>132</fpage><lpage>137</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Калинина А.А., Сапронова Н.Г., Трандофилов А.М., Простов И.И., Божко А.В., Чернышенко М.Ю., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Калинина А.А., Сапронова Н.Г., Трандофилов А.М., Простов И.И., Божко А.В., Чернышенко М.Ю.</copyright-holder><copyright-holder xml:lang="en">Kalinina A.A., Sapronova N.G., Trandofilov A.M., Prostov I.I., Bozhko A.V., Chernyshenko M.Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://submit.pirogov-vestnik.ru/jour/article/view/665">https://submit.pirogov-vestnik.ru/jour/article/view/665</self-uri><abstract><p>Целью настоящей работы является комплексный анализ и обобщение современного отечественного и зарубежного опыта терапии гнойно-некротических осложнений при синдроме диабетической стопы (СДС). В задачи исследования входит изучение механизмов междисциплинарного взаимодействия специалистов, сравнительный анализ эффективности данного подхода с традиционными методами, а также обоснование целесообразности внедрения интегрированных моделей оказания медицинской помощи. Актуальность проблемы обусловлена высокой эпидемиологической значимостью сахарного диабета (СД) в РФ, где численность пациентов превысила 7,5 млн. человек, а также ростом частоты гнойно-некротических осложнений. В рамках исследования проведен систематический обзор научной литературы, посвященной инновационным методам лечения СДС. Особое внимание уделено проблеме высокой инвалидизации и частоте выполнения высоких ампутаций. Традиционная дискретная (фрагментарная) модель маршрутизации пациентов показала свою несостоятельность: риск ампутации конечности при СДС остается в 10–30 раз выше по сравнению с общей популяцией. Это диктует необходимость перехода к системной командной работе в рамках междисциплинарного подхода. Результаты исследования могут служить основой для разработки новых клинических рекомендаций и улучшения существующих протоколов ведения пациентов с СДС.</p></abstract><trans-abstract xml:lang="en"><p>The aim of this study is to comprehensively analyze and summarize current domestic and international experience in treating purulent-necrotic complications of diabetic foot syndrome (DFS). The objectives of the study include exploring the mechanisms of interdisciplinary collaboration, comparing the effectiveness of this approach with traditional methods, and substantiating the feasibility of implementing integrated models of healthcare delivery. The relevance of this problem is determined by the high epidemiological significance of diabetes mellitus (DM) in the Russian Federation, where the number of patients has exceeded 7.5 million, as well as the increasing incidence of purulent-necrotic complications. This study includes a systematic review of the scientific literature on innovative DFS treatment methods. Particular attention is paid to the high rate of disability and the frequency of major amputations. The traditional discrete (fragmented) patient routing model has proven ineffective: the risk of limb amputation in DFS remains 10–30 times higher than in the general population. This necessitates a transition to systemic teamwork within an interdisciplinary approach. The study’s results can serve as a basis for developing new clinical guidelines and improving existing protocols for managing patients with diabetic foot syndrome.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>синдром диабетической стопы</kwd><kwd>гнойно-некротические осложнения</kwd><kwd>междисциплинарная команда</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>diabetic foot syndrome</kwd><kwd>purulent-necrotic complications</kwd><kwd>interdisciplinary team</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Статистика стран и регионов. Полные наборы данных. Количество больных диабетом. Россия. Statbase. Доступно по: https://statbase.ru/data/rus-number-of-diabetic-patients/. Ссылка активна на 07.12.2025.</mixed-citation><mixed-citation xml:lang="en">Statistika stran i regionov. Polnye nabory dannyx. Kolichestvo bolny`x diabetom. Rossiya. Statbase. (In Russ.) Av. at: https://statbase.ru/data/rus-number-of-diabetic-patients/. Link active on 07.12.2025.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Алгоритмы специализированной медицинской помощи больным сахарным диабетом / Под ред. И.И. Дедова, М.В. Шестаковой, О.Ю. Сухаревой. – 12-й выпуск. – М.; 2025.</mixed-citation><mixed-citation xml:lang="en">Algoritmy` specializirovannoj medicinskoj pomoshhi bol`ny`m saxarny`m diabetom. II Dedov, MV Shestakova, OYu Suxareva, editors. Moscow; 2025. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Белик Б.М., Чумбуридзе И.П., Штильман М.Ю. и др. Комплексное лечение больных с гнойно-некротическими осложнениями при нейропатической форме синдрома диабетической стопы // Хирургия. Журнал им. Н.И. Пирогова. – 2020. – №4. – С.81-87. doi: 10.17116/hirurgia202004181.</mixed-citation><mixed-citation xml:lang="en">Belik BM, Chumburidze IP, Shtilman MYu, et al. Complex treatment of patients with pyo-necrotic complications of the neuropathic form of diabetic foot syndrome. Pirogov Russian Journal of Surgery. 2020; 4: 81-87. (In Russ.) doi: 10.17116/hirurgia202004181.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Schaper NC, van Netten JJ, Apelqvist J, et al. Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes Metab Res Rev. 2024; 40(3): e3657. doi: 10.1002/dmrr.3657.</mixed-citation><mixed-citation xml:lang="en">Schaper NC, van Netten JJ, Apelqvist J, et al. Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes Metab Res Rev. 2024; 40(3): e3657. doi: 10.1002/dmrr.3657.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Marx N, Federici M, Schütt K, et al. 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. Eur Heart J. 2023; 44(39): 4043-4140. doi: 10.1093/eurheartj/ehad192. Erratum in: Eur Heart J. 2023; 44(48): 5060. doi: 10.1093/eurheartj/ehad774. Erratum in: Eur Heart J. 2024; 45(7): 518. doi: 10.1093/eurheartj/ehad857.</mixed-citation><mixed-citation xml:lang="en">Marx N, Federici M, Schütt K, et al. 2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes. Eur Heart J. 2023; 44(39): 4043-4140. doi: 10.1093/eurheartj/ehad192. Erratum in: Eur Heart J. 2023; 44(48): 5060. doi: 10.1093/eurheartj/ehad774. Erratum in: Eur Heart J. 2024; 45(7): 518. doi: 10.1093/eurheartj/ehad857.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Соловьев В.А., Далматова А.Б., Цветкова Е.В. и др. Мультидисциплинарный подход в лечении пациентов с синдромом диабетической стопы // Российский журнал персонализированной медицины. – 2023. – №3(1). – С.109-123. doi: 10.18705/2782-3806-2023-31-109-123.</mixed-citation><mixed-citation xml:lang="en">Solov`ev VA, Dalmatova AB, Czvetkova E.V., et al. Mul`tidisciplinarny`j podxod v lechenii pacientov s sindromom diabeticheskoj stopy`. Rossijskij zhurnal personalizirovannoj mediciny`. 2023; 3(1): 109-123. (In Russ.) doi: 10.18705/2782-3806-2023-31-109-123.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Davies MJ, Aroda VR, Collins BS, et al. Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia. 2022; 65(12): 1925-1966. doi: 10.1007/s00125-022-05787-2.</mixed-citation><mixed-citation xml:lang="en">Davies MJ, Aroda VR, Collins BS, et al. Management of hyperglycaemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia. 2022; 65(12): 1925-1966. doi: 10.1007/s00125-022-05787-2.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Суздальцев И.В. Комплексное лечение язвенно-некротических поражений при синдроме диабетической стопы. – М.: Изд-во СтГМУ, 2018.</mixed-citation><mixed-citation xml:lang="en">Suzdaltsev IV. Kompleksnoye lecheniye yazvenno-nekroticheskikh porazheniy pri sindrome diabeticheskoy stopy. Stavropol: Izd-vo StGMU; 2018. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Курлаев П.П., Гриценко В.А., Белозерцева Ю.П. Антибактериальная терапия гнойно-некротических осложнений синдрома диабетической стопы // Курский научно-практический вестник «Человек и его здоровье». – 2018. – №4. – С.80-87. doi: 10.21626/vestnik/2018-4/13.</mixed-citation><mixed-citation xml:lang="en">Kurlaev PP, Gricenko VA, Belozerceva YuP. Antibakterial`naya terapiya gnojno-nekroticheskix oslozhnenij sindroma diabeticheskoj stopy`. Kurskij nauchno-prakticheskij vestnik «Chelovek i ego zdorov`e». 2018; 4: 80-87. (In Russ.). doi: 10.21626/vestnik/2018-4/13.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Соколова В.И., Сычев Д.А., Бабарина М.Б., Васильева Е.И. Диабетическая стопа: возможности антибактериальной и антиоксидантной терапии // Антибиотики и Химиотерапия. – 2018. – №63(5-6). – С.10- 15. doi: 10.37489/0235-2990-2018-63-5-6-10-15.</mixed-citation><mixed-citation xml:lang="en">Sokolova VI, Sy`chev DA, Babarina MB, Vasil`eva EI. Diabeticheskaya stopa: vozmozhnosti antibakterial`noj i antioksidantnoj terapii. Antibiotiki i Ximioterapiya. 2018; 63(5-6): 10-15. (In Russ.) doi: 10.37489/0235-2990-2018-63-5-6-10-15.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Caetano AP, Conde Vasco I, Veloso Gomes F, et al. Successful Revascularization has a Significant Impact on Limb Salvage Rate and Wound Healing for Patients with Diabetic Foot Ulcers: Single-Centre Retrospective Analysis with a Multidisciplinary Approach. Cardiovasc Intervent Radiol. 2020; 43(- 10): 1449-1459. doi: 10.1007/s00270-020-02604-4.</mixed-citation><mixed-citation xml:lang="en">Caetano AP, Conde Vasco I, Veloso Gomes F, et al. Successful Revascularization has a Significant Impact on Limb Salvage Rate and Wound Healing for Patients with Diabetic Foot Ulcers: Single-Centre Retrospective Analysis with a Multidisciplinary Approach. Cardiovasc Intervent Radiol. 2020; 43(- 10): 1449-1459. doi: 10.1007/s00270-020-02604-4.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Кисляков В.А. Рентгенэндоваскулярная коррекция артериального кровотока в органосохраняющей тактике при хронической артериальной недостаточностии и гнойно-некротических поражениях дистальных отделов нижних конечностей у пациентов с сахарным диабетом // Раны и раневые инфекции. Сборник научных трудов 5 международного научно-практического конгресса. – Москва, 2021. – С.73-76.</mixed-citation><mixed-citation xml:lang="en">Kislyakov V.A. Rentgene`ndovaskulyarnaya korrekciya arterial`nogo krovotoka v organosoxranyayushhej taktike pri xronicheskoj arterial`noj nedostatochnostii i gnojno-nekroticheskix porazheniyax distal`ny`x otdelov nizhnix konechnostej u pacientov s saxarny`m diabetom. Rany` i ranevy`e infekcii. Sbornik nauchny`x trudov 5 mezhdunarodnogo nauchno-prakticheskogo kongressa. Moskva, 2021: 73-76. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Hinchliffe RJ, Forsythe RO, Apelqvist J, et al. International Working Group on the Diabetic Foot (IWGDF). Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020; 36(S1): e3276. doi: 10.1002/dmrr.3276.</mixed-citation><mixed-citation xml:lang="en">Hinchliffe RJ, Forsythe RO, Apelqvist J, et al. International Working Group on the Diabetic Foot (IWGDF). Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020; 36(S1): e3276. doi: 10.1002/dmrr.3276.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Бурлева Е.П. Специализированная хирургическая помощь пациентам с синдромом диабетической стопы // Сахарный диабет, его осложнения и хирургические инфекции. Сборник научных трудов 4-го международного научно-практического конгресса 19–21 ноября 2019 г. Москва. – С.21-23.</mixed-citation><mixed-citation xml:lang="en">Burleva E.P. Specializirovannaya xirurgicheskaya pomoshh` pacientam s sindromom diabeticheskoj stopy`. Saxarny`j diabet, ego oslozhneniya i xirurgicheskie infekcii. Sbornik nauchny`x trudov 4-go mezhdunarodnogo nauchnoprakticheskogo kongressa 19–21 noyabrya. Moskva. 2019: 21-23. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ладонин С.В. Хирургическое лечение язвенных дефектов переднего отдела стопы при сахарном диабете // Сахарный диабет, его осложнения и хирургические инфекции. Сборник научных трудов 4-го международного научно-практического конгресса. 19–21 ноября 2019. г. Москва. – С.48-50.</mixed-citation><mixed-citation xml:lang="en">Ladonin SV. Xirurgicheskoe lechenie yazvenny`x defektov perednego otdela stopy` pri saxarnom diabete. Saxarny`j diabet, ego oslozhneniya i xirurgicheskie infekcii. Sbornik nauchny`x trudov 4-go mezhdunarodnogo nauchno-prakticheskogo kongressa. 19–21 noyabrya. Moskva. 2019: 48-50. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Помыткин А.В. Опыт лечения синдрома диабетической стопы в хирургическом стационаре // Раны и раневые инфекции. Сборник научных трудов 5 международного научно-практического конгресса. – Москва, 2021. – С.128-130.</mixed-citation><mixed-citation xml:lang="en">Pomy`tkin AV. Opy`t lecheniya sindroma diabeticheskoj stopy` v xirurgicheskom stacionare. Rany` i ranevy`e infekcii. Sbornik nauchny`x trudov 5 mezhdunarodnogo nauchno-prakticheskogo kongressa. Moskva, 2021: 128-130. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Бреговский В.Б., Демина А.Г., Карпова И.А. Применение современных перевязочных средств при лечении язвенных дефектов стоп у больных сахарным диабетом в амбулаторных условиях // Амбулаторная хирургия. – 2022. – №2. – С.68-77. doi: 10.21518/1995-1477-2022-19-2-72-81.</mixed-citation><mixed-citation xml:lang="en">Bregovskij VB, Demina AG, Karpova IA. Primenenie sovremenny`x perevyazochny`x sredstv pri lechenii yazvenny`x defektov stop u bol`ny`x saxarny`m diabetom v ambulatorny`x usloviyax // Ambulatornaya xirurgiya. 2022; 2: 68-77. (In Russ.) doi: 10.21518/1995-1477-2022-19-2-72-81.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Калиниченко А.П. Клиникопато-генетические особенности течения раневого процесса при местном лечении больных с синдромом диабетической стопы: Дис. канд. мед. наук. Симферополь, 2023.</mixed-citation><mixed-citation xml:lang="en">Кalinichenko AP. Klinikopato-geneticheskiye osobennosti techeniya ranevogo protsessa pri mestnom lechenii bolnykh s sindromom diabeticheskoy stopy. [dissertation] Simferopol; 2023. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Горохов С.В. Практические аспекты послеоперационной разгрузки при синдроме диабетической стопы // Раны и раневые инфекции. Сборник научных трудов 5 международного научно-практического конгресса. – Москва. – 2021. – С.42-46.</mixed-citation><mixed-citation xml:lang="en">Goroxov SV. Prakticheskie aspekty` posleoperacionnoj razgruzki pri sindrome diabeticheskoj stopy`. Rany` i ranevy`e infekcii. Sbornik nauchny`x trudov 5 mezhdunarodnogo nauchno-prakticheskogo kongressa. Moskva. 2021: 42-46. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ahluwalia R, Maffulli N, Lázaro-Martínez JL, Kirketerp-Møller K, Reichert I. Diabetic foot off loading and ulcer remission: Exploring surgical off-loading. Surgeon. 2021; 19(6): e526-e535. doi: 10.1016/j.surge.2021.01.005.</mixed-citation><mixed-citation xml:lang="en">Ahluwalia R, Maffulli N, Lázaro-Martínez JL, Kirketerp-Møller K, Reichert I. Diabetic foot off loading and ulcer remission: Exploring surgical off-loading. Surgeon. 2021; 19(6): e526-e535. doi: 10.1016/j.surge.2021.01.005.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Горюнов С.В., Привиденцев А.И., Мантурова Н.Е., Ступин В.А. Факторы, влияющие на выбор органосохраняющих реконструктивно-восстановительных вмешательств у больных с синдромом диабетической стопы // Пластическая хирургия и эстетическая медицина. – 2021. – №2. – С.48-55. doi: 10.17116/plast.hirurgia202102148.</mixed-citation><mixed-citation xml:lang="en">Goryunov SV, Prividentsev AI, Manturova NE, Stupin VA. Factors influencing the choice of organ-preserving reconstructive and restorative interventions in patients with diabetic foot syndrome. Plasticheskaya khirurgiya i esteticheskaya meditsina. 2021; 2: 48-55. (In Russ.) doi: 10.17116/plast.hirurgia202102148.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">IWGDF Guidelines on the prevention and management of diabetic foot disease (2023). Available from: https://iwgdfguidelines.org/</mixed-citation><mixed-citation xml:lang="en">IWGDF Guidelines on the prevention and management of diabetic foot disease (2023). Available from: https://iwgdfguidelines.org/</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">National Institute for Health and Care Excellence (NICE). Diabetic foot problems: prevention and management [Internet]. London: NICE; 2015 [updated 2023 Jan 18]. (NICE guideline [NG19]). Available from: https://www.nice.org.uk/guidance/ng19</mixed-citation><mixed-citation xml:lang="en">National Institute for Health and Care Excellence (NICE). Diabetic foot problems: prevention and management [Internet]. London: NICE; 2015 [updated 2023 Jan 18]. (NICE guideline [NG19]). Available from: https://www.nice.org.uk/guidance/ng19</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">American Diabetes Association Professional Practice Committee. 12. Retinopathy, Neuropathy, and Foot Care: Standards of Care in Diabetes–2024. Diabetes Care. 2024; 47(S1): S231-S243. doi: 10.2337/dc24-S012.</mixed-citation><mixed-citation xml:lang="en">American Diabetes Association Professional Practice Committee. 12. Retinopathy, Neuropathy, and Foot Care: Standards of Care in Diabetes–2024. Diabetes Care. 2024; 47(S1): S231-S243. doi: 10.2337/dc24-S012.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Meloni, et al. Management of Diabetic Foot Ulcers in Italy. Journal of Clinical Medicine. 2020. doi: 10.1002/dmrr.3396.</mixed-citation><mixed-citation xml:lang="en">Meloni, et al. Management of Diabetic Foot Ulcers in Italy. Journal of Clinical Medicine. 2020. doi: 10.1002/dmrr.3396.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">DDG (German Diabetes Association) Guidelines: Diagnostics, therapy, follow-up, and prevention of diabetic foot syndrome (Update 2023).</mixed-citation><mixed-citation xml:lang="en">DDG (German Diabetes Association) Guidelines: Diagnostics, therapy, follow-up, and prevention of diabetic foot syndrome (Update 2023).</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Chinese Burn Association; Yangtze River Delta Integrated Diabetic Foot Alliance; Editorial Committee of Chinese Journal of Burns and Wounds. [Practical guideline on the prevention and management of diabetic foot in China ( )]. Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2025; 41(11): 1029-1049. Chinese. doi: 10.3760/cma.j.cn501225-20250801-00345.</mixed-citation><mixed-citation xml:lang="en">Chinese Burn Association; Yangtze River Delta Integrated Diabetic Foot Alliance; Editorial Committee of Chinese Journal of Burns and Wounds. [Practical guideline on the prevention and management of diabetic foot in China ( )]. Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2025; 41(11): 1029-1049. Chinese. doi: 10.3760/cma.j.cn501225-20250801-00345.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Japanese Society for Foot Care and Podiatric Medicine (JFCPM) / Survey on Diabetic Foot Management (2024). doi: 10.34466/jjsfcpm.5.2_K_1.</mixed-citation><mixed-citation xml:lang="en">Japanese Society for Foot Care and Podiatric Medicine (JFCPM) / Survey on Diabetic Foot Management (2024). doi: 10.34466/jjsfcpm.5.2_K_1.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Diabetes Feet Australia. Australian evidence-based guidelines for diabetesrelated foot disease [Internet]. 2023. Available from: https://www.diabetesfeetaustralia.org/guidelines/</mixed-citation><mixed-citation xml:lang="en">Diabetes Feet Australia. Australian evidence-based guidelines for diabetesrelated foot disease [Internet]. 2023. Available from: https://www.diabetesfeetaustralia.org/guidelines/</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Duarte Junior EG, Lopes CF, Gaio DRF, et al. Brazilian Society of Angiology and Vascular Surgery 2023 guidelines on the diabetic foot. J Vasc Bras. 2024; 23: e20230087. doi: 10.1590/1677-5449.202300872.</mixed-citation><mixed-citation xml:lang="en">Duarte Junior EG, Lopes CF, Gaio DRF, et al. Brazilian Society of Angiology and Vascular Surgery 2023 guidelines on the diabetic foot. J Vasc Bras. 2024; 23: e20230087. doi: 10.1590/1677-5449.202300872.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Bal A, Chaudhari C, Langer V, et al. Multispecialty consensus statement for primary care management of diabetic foot disease in India. Natl Med J India. 2017; 30(2): 82-88.</mixed-citation><mixed-citation xml:lang="en">Bal A, Chaudhari C, Langer V, et al. Multispecialty consensus statement for primary care management of diabetic foot disease in India. Natl Med J India. 2017; 30(2): 82-88.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada Clinical Practice Guidelines: Foot Care. Can J Diabetes. 2024. Available from: https://guidelines.diabetes.ca/cpg/chapter32</mixed-citation><mixed-citation xml:lang="en">Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada Clinical Practice Guidelines: Foot Care. Can J Diabetes. 2024. Available from: https://guidelines.diabetes.ca/cpg/chapter32</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Haute Autorité de Santé (HAS) / IWGDF Guidelines adaptation (2023 update).</mixed-citation><mixed-citation xml:lang="en">Haute Autorité de Santé (HAS) / IWGDF Guidelines adaptation (2023 update).</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Клинические рекомендации «Сахарный диабет с синдромом диабетической стопы» (2022–2024). Алгоритмы специализированной медицинской помощи больным сахарным диабетом (11-й выпуск, 2023).</mixed-citation><mixed-citation xml:lang="en">Saxarnyi diabet s sindromom diabeticheskoj stopy: Klinicheskie rekomendacii. Moscow; 2023. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Alaayashi RZM, Alruwaili FH. Effectiveness of Multidisciplinary Approaches in Managing Diabetic Foot Ulcers. A Systematic Review. Eur J Med Health Res. 2025; 3(3): 109-15. doi: 10.59324/ejmhr.2025.3(3).16.</mixed-citation><mixed-citation xml:lang="en">Alaayashi RZM, Alruwaili FH. Effectiveness of Multidisciplinary Approaches in Managing Diabetic Foot Ulcers. A Systematic Review. Eur J Med Health Res. 2025; 3(3): 109-15. doi: 10.59324/ejmhr.2025.3(3).16.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Musuuza J, Sutherland BL, Kurter S, Balasubramanian P, Bartels CM, Brennan MB. A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers. J Vasc Surg. 2020; 71(4): 1433-1446.e3. doi: 10.1016/j.jvs.2019.08.244.</mixed-citation><mixed-citation xml:lang="en">Musuuza J, Sutherland BL, Kurter S, Balasubramanian P, Bartels CM, Brennan MB. A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers. J Vasc Surg. 2020; 71(4): 1433-1446.e3. doi: 10.1016/j.jvs.2019.08.244.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
