Clinical outcomes of selective plantar fascia release for hallux interphalangeal joint ulcers.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2023-11-01

Fahad Hussain, Shivani Kotwal, Nishka Utpat, Sandeepa Utpat, Pranav Phadtare, Robin Lenz

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引用次数: 0

Abstract

Background: Plantar hallux IPJ ulcers are common and challenging to manage, with many available treatments. One newer technique called SPFR has been used in the management of plantar forefoot ulcers.

Objective: This case series reports the clinical results of SPFR for treatment of strictly plantar hallux IPJ ulcers.

Materials and methods: A retrospective chart review was conducted on patients that underwent SPFR procedure by a single foot and ankle surgeon from 2018 to 2023. The primary study outcome was to identify the rate and time of healing associated with SPFR for hallux IPJ ulcers. Only the initial surgery was evaluated for time of healing for the ulcer, healing rate, and complications. Subsequent surgeries were reviewed as well. Patient charts were further reviewed to determine the presence or absence of a postoperative complication.

Results: A total of 17 feet from 17 patients were studied. The hallux IPJ ulcers healed in an average of 3.0 months. The average follow-up time was 26.9 months. Fifteen patients (88.2%) healed after the SPFR procedure. Five patients (29.4%) developed transfer lesions, and 7 patients (41.2%) developed postoperative complications.

Conclusions: The authors believe that SPFR can be utilized in the treatment of hallux IPJ ulcers if both surgeons and patients are aware of the potential complications and limitations of this procedure. Further research is warranted to evaluate the efficacy and reproducibility of these results.

本刊更多论文

选择性足底筋膜松解治疗拇指间关节溃疡的临床疗效。

背景:足底拇趾IPJ溃疡是一种常见且具有挑战性的溃疡，有许多可用的治疗方法。一种名为SPFR的新技术已被用于足底前足溃疡的治疗。目的:本病例系列报道SPFR治疗严格足底拇趾IPJ溃疡的临床结果。材料与方法:回顾性分析2018年至2023年由一名足踝外科医生行SPFR手术的患者。主要研究结果是确定与SPFR相关的拇趾IPJ溃疡的愈合率和时间。仅对初次手术的溃疡愈合时间、治愈率和并发症进行评估。随后的手术也进行了回顾。进一步审查患者图表以确定是否存在术后并发症。结果:共研究了17例患者的17英尺。拇趾IPJ溃疡愈合时间平均为3.0个月。平均随访26.9个月。15例患者(88.2%)在SPFR手术后痊愈。5例(29.4%)出现转移性病变，7例(41.2%)出现术后并发症。结论:作者认为，如果外科医生和患者都意识到这种手术的潜在并发症和局限性，SPFR可以用于拇趾IPJ溃疡的治疗。需要进一步的研究来评估这些结果的有效性和可重复性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.