Cultura

The Axiology of Health in Islam: A Philosophical Perspective on Human Well-Being

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Tariq Ibrahim Abdul Razzaq Al-Masoud
Associate Professor of Hadith and its Sciences, Prince Sattam bin Abdulaziz University, Saudi Arabia

Abstract

The aim of this study was to synthesise teachings from the Quran and the Prophetic traditions to formulate a cohesive framework for human flourishing, with particular attention to health as an aspect of moral excellence (ihsan) and the expression of Islam’s universal principles, including the sanctity of life, moderation, and compassion. The analysis encompassed an extensive range of scriptural material relating to health, hygiene, nutrition, moderation, environmental stewardship, and infection control. A deductive, thematic approach was employed to organise the findings into domains of prevention and treatment, evaluating their practical implications. The review revealed that Islamic guidance advocates a comprehensive framework to protect life through principles such as avoidance of harm, quarantine during epidemics, ritual and personal hygiene, lawful consumption without excess, sexual ethics, and environmental sanitation, while also encouraging engagement with competent medical care alongside spiritual practices such as ruqyah and supplication. These premodern instructions align with contemporary public health and bioethical objectives by integrating faith, scientific understanding, and responsibility to oneself and society; adherence to these practices was found to enhance individual resilience, foster social cohesion, and reduce disease risk. The study proposed that incorporating faith-based health directives could substantially improve adherence to preventive and therapeutic measures, particularly when promoted through educational channels and community institutions. It was recommended to implement a unified approach by embedding Islamic health principles within school curricula and mosque-led programmes to normalise preventive behaviours and support evidence-based healthcare practices.

Keywords : Preventive Jurisprudence; Quarantine; Hygiene; Faith-Based Interventions; Bioethics.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty