Use of the Allgöwer-Donati suture technique for wound closure following transmetatarsal amputation.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2023-08-01 DOI:10.25270/wnds/22096

Zachery Weyandt, Thomas Poynter, Nicolas Laco, Jonathan Towarnicki, S. Coleman

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引用次数: 0

Abstract

INTRODUCTION The Allgöwer-Donati suture technique reportedly has lower incision perfusion impairment compared with other suture techniques. The authors of the present case series hypothesized that suture technique selection to achieve lower incision perfusion impairment may result in improved healing rates and decreased incidence of wound complications in partial foot amputations, specifically TMAs. OBJECTIVE To evaluate the efficacy of TMA with skin closure completed using the Allgöwer-Donati suture technique. MATERIALS AND METHODS The records of 7 patients (8 limbs) who underwent closure with the Allgöwer-Donati suture technique after TMA between March 2021 and March 2022 were retrospectively reviewed. Only patients with a diagnosis of gangrene were included. RESULTS Five of 8 limbs (62.5%) healed uneventfully, with an average time to healing of 3.3 weeks. Six of 8 limbs (75%) healed within 4 weeks, and 1 limb was lost to follow-up. CONCLUSIONS The results of this small case series suggest that use of the Allgöwer-Donati suture technique may result in decreased incidence of wound complications by allowing improved perfusion at the amputation site.

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Allgöwer-Donati缝合技术在经跖骨截肢术后伤口愈合中的应用。

据报道，与其他缝合技术相比，Allgöwer-Donati缝合技术具有较低的切口灌注损伤。本病例系列的作者假设，选择缝合技术以实现较低的切口灌注损伤可能会提高部分足部截肢，特别是TMAs的愈合率并降低伤口并发症的发生率。目的评价Allgöwer-Donati缝合技术完成TMA皮肤闭合的疗效。材料与方法回顾性分析2021年3月至2022年3月7例(8条肢体)TMA术后采用Allgöwer-Donati缝合技术缝合的病例。仅包括诊断为坏疽的患者。结果8例肢体中5例(62.5%)愈合平稳，平均愈合时间3.3周。8条肢体中有6条(75%)在4周内愈合，1条肢体失访。结论:这个小病例系列的结果表明，Allgöwer-Donati缝合技术可以改善截肢部位的灌注，从而减少伤口并发症的发生率。

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.