Rationale and technique for subulcer ultrasonic treatment of hard-to-heal diabetic foot ulcers.

IF 1.7 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-08-02 DOI:10.12968/jowc.2022.0139

Lewis H Freed, Christopher G Parkin, Bernard F Morrey

引用次数: 0

Abstract

Diabetic foot ulcers (DFUs) are common complications of suboptimally controlled diabetes, characterised by non-healing, high morbidity, infection, recurrence (40-50%) and mortality. Ultrasonic debridement technology has been used for >30 years to treat cataracts safely and effectively, and animal studies have suggested that ultrasound debridement stimulates collagen turnover. This technology was applied in developing a system for soft tissue removal in tendons and elsewhere, with intended use in the elbow, knee, ankle, foot and shoulder. It was then modified for the treatment of DFUs. In this study, the rationale behind using this technology is discussed, the procedural technique is described, and photographic examples of treatment outcomes presented.

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难以愈合的糖尿病足溃疡的超声治疗的原理和技术。

糖尿病足溃疡（DFUs）是控制不佳的糖尿病的常见并发症，其特点是不愈合、高发病率、感染、复发率（40-50%）和死亡率。超声清创技术安全有效地治疗白内障已有近30年的历史，动物实验表明超声清创可刺激胶原蛋白的周转。这项技术被应用于开发肌腱和其他地方的软组织去除系统，预期用于肘部、膝盖、脚踝、脚和肩膀。然后对其进行改良，用于治疗DFUs。在本研究中，讨论了使用该技术的基本原理，描述了程序技术，并提供了治疗结果的照片示例。

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

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.