Preserve Gait in Diabetic Patients: Kobe Classification Goes to the Next Stage

Abstract

There is no medical education system of diabetic foot in Japan, where there is absent from podiatrists. The highest priority for diabetic foot ulcers in the treatment by the pathophysiology of the ulcer is noted in “Kobe Classification”. However, the number of elderly people, diabetes, peripheral artery disease (PAD) are now rapidly increasing in Japan. And then, the number of hospital beds in the country decreased, in a situation where it is difficult for diabetic patients with the foot ulcers to have long-term hospitalization treatment. The next stage of “Kobe Classification” aimed at the initial wound treatment is how to preserve their own gait and to seek to return to society.