التفاصيل البيبلوغرافية
| العنوان: |
Recurrent diabetic foot ulcers: Results of a maximal multidisciplinary approach including reconstructive foot/ankle surgery. |
| المؤلفون: |
Brekelmans, Wouter, van Laar, Wilbert, Tolen, Nicole J., Hoencamp, Rigo, Borger van der Burg, Boudewijn L. S. |
| المصدر: |
International Wound Journal; Aug2023, Vol. 20 Issue 6, p1866-1873, 8p |
| مصطلحات موضوعية: |
FOOT surgery, DIABETES complications, ISCHEMIA, FOOT abnormalities, DIABETIC foot, ANKLE joint, PLASTIC surgery, CHARCOT joints, DISEASE relapse, TREATMENT effectiveness, INFECTION, HEALTH care teams, WOUND care, EVALUATION |
| مستخلص: |
The diabetic foot ulcer (DFU) and Charcot Neuroarthropathy (CN) are serious complications of diabetes mellitus in which wound closure is complex to achieve. Treating recurrent DFU in patients with a combination of infection, ischemia, and deformities is extremely challenging and this group of patients has a very poor outcome. This case series describes the outcomes of patients with a recurrent DFU and CN, with a mean SINBAD score of 4 and of which 40% had a TCS of D3, using a multidisciplinary protocol that includes reconstructive foot and ankle surgery. In 24/35 (69%) of patients, wound closure was achieved after a mean of 75 days postoperatively. The mean ulcer‐free period was 358 days. The mean number of interventions was 6.7 (range 3–9). Post treatment 27/35 (77%) of patients was mobile, without additional amputation or ulcer recurrence. This study shows that wound closure and a long ulcer‐free period can be achieved in patients with a DFU and CN and its multifactorial underlying diseases when treated in a multidisciplinary team, including reconstructive foot and ankle surgery. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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