Diabetic Foot & Ankle最新文献_第10页

Effectiveness of bridge V.A.C. dressings in the treatment of diabetic foot ulcers. 桥接vac敷料治疗糖尿病足溃疡的疗效。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-03-04 DOI: 10.3402/dfa.v2i0.5893

Aziz Nather, Ng Yau Hong, Wong Keng Lin, Joshi Abhijit Sakharam

{"title":"Effectiveness of bridge V.A.C. dressings in the treatment of diabetic foot ulcers.","authors":"Aziz Nather, Ng Yau Hong, Wong Keng Lin, Joshi Abhijit Sakharam","doi":"10.3402/dfa.v2i0.5893","DOIUrl":"https://doi.org/10.3402/dfa.v2i0.5893","url":null,"abstract":"Objectives: This is a prospective study of the clinical efficacy of the V.A.C. Granufoam Bridge Dressing for the treatment of diabetic foot ulcers.Materials and methods: Five consecutive patients with diabetic foot ulcers were treated with V.A.C. Granufoam Bridge Dressings and studied over a period of 22-48 days. The indications for treatment included diabetic patients with open ray amputation wounds and wounds post-drainage for abscess with exposed deep structures. Clinical outcome was measured in terms of reduction in wound dimensions, presence of wound granulation, microbial clearance, and development of wound complications.Results: Our results showed that with V.A.C. therapy, wound healing occurred in all patients. The number of dressings required ranged from 8 to 10. The baseline average wound size was 23.1 cm(2). Wound areas shrunk by 18.4-41.7%. All subjects achieved 100% wound bed granulation with an average length of treatment of 33 days. Microbial clearance was achieved in all cases. All wounds healed by secondary intention in one case and four cases required split-thickness skin grafting.Conclusion: The V.A.C. Granufoam Bridge Dressing is effective in the treatment of diabetic foot ulcers. It promotes reduction of wound area, wound bed granulation, and microbial clearance. By allowing placement of the suction pad outside the foot, it allowed patients to wear protective shoes and to walk non-weight bearing with crutches during V.A.C. therapy.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"2 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3402/dfa.v2i0.5893","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40145655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Erratum:. 错误:。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-12-07 DOI: 10.3402/dfa.v2i0.14920

引用次数: 0

Distal posterior tibial artery perforator flaps for the management of calcaneal and Achilles tendon injuries in diabetic and non-diabetic patients. 胫后动脉远端穿支皮瓣治疗糖尿病和非糖尿病患者的跟腱和跟腱损伤。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-08-12 DOI: 10.3402/dfa.v2i0.7483

Ioannis A Ignatiadis, Georgios D Georgakopoulos, Vassiliki A Tsiampa, Vasilios D Polyzois, Dimitrios K Arapoglou, Apostolos E Papalois

{"title":"Distal posterior tibial artery perforator flaps for the management of calcaneal and Achilles tendon injuries in diabetic and non-diabetic patients.","authors":"Ioannis A Ignatiadis, Georgios D Georgakopoulos, Vassiliki A Tsiampa, Vasilios D Polyzois, Dimitrios K Arapoglou, Apostolos E Papalois","doi":"10.3402/dfa.v2i0.7483","DOIUrl":"https://doi.org/10.3402/dfa.v2i0.7483","url":null,"abstract":"Management of Achilles tendon and heel area defects is a common challenge for the reconstructive surgeon due to the lack of soft tissue availability in that region. In this article, we present our experience in covering these defects by using the distal perforator propeller flaps based on the posterior tibial artery. Perforator flaps are based on cutaneous, small diameter vessels that originate from a main pedicle and perforate the fascia or muscle to reach the skin. Their development has followed the understanding of the blood supply from a source artery to the skin. Six patients (five males and one female) underwent reconstruction by using the posterior tibial artery distal perforator flap for covering defects in the distal Achilles tendon region in patients with and without diabetes mellitus. Postoperative complications included a hypertrophic scar formation in one patient, partial marginal flap necrosis in another patient, and a wound infection in a third patient. All wounds were eventually healed by the last postoperative visit. In conclusion, perforator flaps based on the distal posterior tibial artery may be a reliable option for the coverage of small to moderate size defects of the Achilles tendon and heel area regions.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"2 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3402/dfa.v2i0.7483","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40145650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Recurrence of diabetic pedal ulcerations following tendo-achilles lengthening. 跟腱延长后糖尿病足溃疡复发。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-05-11 DOI: 10.3402/dfa.v2i0.6417

Richard D Weiner, Lee M Hlad, Danielle R McKenna

引用次数: 4

Dressing plantar wounds with foam dressings, is it too much pressure? 用泡沫敷料包扎足底伤口，会不会压力太大?

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-11-04 DOI: 10.3402/dfa.v2i0.8751

Ryan Scott Causby, M Pod, Sara Jones

{"title":"Dressing plantar wounds with foam dressings, is it too much pressure?","authors":"Ryan Scott Causby, M Pod, Sara Jones","doi":"10.3402/dfa.v2i0.8751","DOIUrl":"https://doi.org/10.3402/dfa.v2i0.8751","url":null,"abstract":"Diabetes and its associated complications have become a major concern locally, nationally and internationally. One such complication is lower extremity amputation, commonly preceded by chronic ulceration. The cause of this tissue breakdown is multi-faceted, but includes an increase in pressure, particularly plantar pressure. As such, the choice of dressing to be applied to a plantar wound should ideally not increase this pressure further. A commonly used and possibly more bulky dressing is the foam dressing. This pilot study investigates the plantar pressures associated with three common foam dressings (Allevyn(®), Lyofoam(®) and Mepilex(®)) compared with a control dressing (Melolin(®)). Twelve healthy males and 19 females [SD] age 36.6 [10.4] were measured using the F-scan plantar pressure measurement system. Substantial variations in individual pressure changes occurred across the foot. No significant differences were identified, once a Bonferroni correction was applied. In healthy adults, it could be concluded that foam dressings do not have any effect on the plantar pressures of the foot. However, the need remains for a robust trial on a pathological population.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"2 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3402/dfa.v2i0.8751","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40145652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Foreword. 前言。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-05-11 DOI: 10.3402/dfa.v2i0.7215

Thomas Zgonis

引用次数: 0

Assessment of sensory neuropathy in patients with diabetic foot problems. 评估糖尿病足病患者的感觉神经病变。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-06-16 DOI: 10.3402/dfa.v2i0.6367

Aziz Nather, Wong Keng Lin, Zameer Aziz, Christine Hj Ong, Bernard Mc Feng, Clarabelle B Lin

{"title":"Assessment of sensory neuropathy in patients with diabetic foot problems.","authors":"Aziz Nather, Wong Keng Lin, Zameer Aziz, Christine Hj Ong, Bernard Mc Feng, Clarabelle B Lin","doi":"10.3402/dfa.v2i0.6367","DOIUrl":"10.3402/dfa.v2i0.6367","url":null,"abstract":"Our aim of this study was to compare the accuracy of three different modalities for testing sensory neuropathy in diabetic patients with and without diabetic foot problems. The three devices used included the pin-prick testing using the Neurotip® (PPT), the Semmes-Weinstein 5.07/10 g monofilament testing (SWMT), and the rapid-current perception threshold (R-CPT) measurements using the Neurometer® testing. Our study population consisted of 54 patients (108 feet) with diabetic foot problems treated at the National University Hospital in Singapore by our multi-disciplinary diabetic foot care team. Our results showed no difference in sensory neuropathy detected by PPT and 5.07/10 g SWMT in both the pathological and normal foot. In the pathological foot, there was significant increase in sensory neuropathy detected by the Neurometer® device at both the big toe and ankle sites as compared to PPT and 5.07/10 g SWMT. In the normal foot, there was a significant increase in sensory neuropathy detected by the Neurometer® device at the big toe site only as compared to PPT and 5.07/10 g SWMT. Finally, the Neurometer® measurements detected a statistically higher proportion of feet with sensory neuropathy as compared to detection by the PPT or 5.07/10 g SWMT.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"2 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/bf/DFA-2-6367.PMC3284271.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40145649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abductor hallucis muscle flap with circular external fixation for Charcot foot osteomyelitis: a case report. 外展幻肌瓣联合圆形外固定治疗Charcot足骨髓炎1例。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-05-11 DOI: 10.3402/dfa.v2i0.6336

Crystal L Ramanujam, Zacharia Facaros, Thomas Zgonis

引用次数: 6

The use of Papineau technique for the treatment of diabetic and non-diabetic lower extremity pseudoarthrosis and chronic osteomyelitis. 应用Papineau技术治疗糖尿病和非糖尿病性下肢假关节和慢性骨髓炎。

Diabetic Foot & Ankle Pub Date : 2011-01-01 Epub Date: 2011-03-04 DOI: 10.3402/dfa.v2i0.5920

Vasilios D Polyzois, Spyridon P Galanakos, Vassiliki A Tsiampa, Ioannis D Papakostas, Nikiforos K Kouris, Adrian M Avram, Apostolos E Papalois, Ioannis A Ignatiadis

引用次数: 13

The role of an extended medial column arthrodesis for Charcot midfoot neuroarthropathy. 扩展内侧柱关节融合术在Charcot中足神经关节病中的作用。

Diabetic Foot & Ankle Pub Date : 2010-01-01 Epub Date: 2010-06-01 DOI: 10.3402/dfa.v1i0.5282

Claire M Capobianco, John J Stapleton, Thomas Zgonis

引用次数: 16