Diabetic Foot & Ankle最新文献_第7页

Distal amputations for the diabetic foot. 远端截肢治疗糖尿病足。

Diabetic Foot & Ankle Pub Date : 2013-07-16 Print Date: 2013-01-01 DOI: 10.3402/dfa.v4i0.21288

Aziz Nather, Keng Lin Wong

引用次数: 40

Pressure pain perception in the diabetic Charcot foot: facts and hypotheses. 糖尿病夏科足的压痛感知:事实与假设。

Diabetic Foot & Ankle Pub Date : 2013-05-21 Print Date: 2013-01-01 DOI: 10.3402/dfa.v4i0.20981

Ernst A Chantelau, Tobias Wienemann

{"title":"Pressure pain perception in the diabetic Charcot foot: facts and hypotheses.","authors":"Ernst A Chantelau, Tobias Wienemann","doi":"10.3402/dfa.v4i0.20981","DOIUrl":"https://doi.org/10.3402/dfa.v4i0.20981","url":null,"abstract":"Background: Reduced traumatic and posttraumatic (nociceptive) pain is a key feature of diabetic neuropathy. Underlying condition is a gradual degeneration of endings of pain nerves (A-delta fibers and C-fibers), which operate as receivers of noxious stimuli (nociceptors). Hence, the absence of A-delta fiber mediated sharp pain (\"first\" pain), and of C-fiber mediated dull pain (\"second\" pain). However, patients with diabetic neuropathy and acute Charcot foot often experience deep dull aching in the Charcot foot while walking on it.Aim: To create a unifying hypothesis on the kind of pain in an acute Charcot foot.Result: Absence of punctuate (pinprick) pain perception at the sole of a Charcot foot, as was shown recently, likely corresponds to vanished intraepidermal A-delta fiber endings. C-fiber nociceptors are reduced, according to histopathology studies. Both types of fibers contribute to posttraumatic hyperalgesia at the skin level, as studies show. Their deficiencies likely impact on posttraumatic hyperalgesia at the skin level and, probably, also at the skeletal level.Conclusion: It is hypothesised that deep dull aching in an acute diabetic Charcot foot may represent faulty posttraumatic hyperalgesia involving cutaneous and skeletal tissues.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"4 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3402/dfa.v4i0.20981","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31454513","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: 11

Etiology, pathophysiology and classifications of the diabetic Charcot foot. 糖尿病沙氏足的病因、病理生理及分类。

Diabetic Foot & Ankle Pub Date : 2013-05-21 Print Date: 2013-01-01 DOI: 10.3402/dfa.v4i0.20872

Nikolaos Papanas, Efstratios Maltezos

引用次数: 74

Permanent antibiotic impregnated intramedullary nail in diabetic limb salvage: a case report and literature review. 永久性抗生素浸渍髓内钉在糖尿病肢体救治中的应用：病例报告和文献综述。

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-02-01 DOI: 10.3402/dfa.v3i0.11908

Jason B Woods, Nicholas J Lowery, Patrick R Burns

引用次数: 0

A case report of a multi-drug resistant bacterial infection in a diabetic patient treated in northeast Brazil. 巴西东北部一名糖尿病患者耐多药细菌感染的病例报告。

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-06-26 DOI: 10.3402/dfa.v3i0.18656

Renato Motta Neto, Miguel Angel Ansaldi, Maria Eduarda S M da Costa, Samuel Oliveira da Silva, Victor Hugo F Luz

{"title":"A case report of a multi-drug resistant bacterial infection in a diabetic patient treated in northeast Brazil.","authors":"Renato Motta Neto, Miguel Angel Ansaldi, Maria Eduarda S M da Costa, Samuel Oliveira da Silva, Victor Hugo F Luz","doi":"10.3402/dfa.v3i0.18656","DOIUrl":"10.3402/dfa.v3i0.18656","url":null,"abstract":"Diabetes mellitus is one of the most critical health conditions around the world, not only in terms of the number of affected people, disability, and premature mortality, but also in regards to the health care costs involved in controlling and treating its complications. Among the most constant ailments the diabetic patient suffers is the diabetic foot, defined as any infection, ulceration, and/or necrosis of deep tissues associated with neurological abnormalities and various degrees of peripheral vascular disease of the lower limbs. Diabetic foot ulcerations have become a major and increasing public health concern and its associated morbidities, impairment of the patients' quality of life, and the implied costs for management have attracted the attention of numerous health care providers. In this case report, the authors review a unique presentation of a polymicrobial infection of a multi-drug resistant character species formed by oxacillin-resistant Staphylococcus aureus, Acinetobacter baumannii and Acinetobacter lwoffii.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/ab/DFA-3-18656.PMC3384988.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30726852","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

Diabetic foot infections: current concept review. 糖尿病足部感染:当前概念综述。

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-05-08 DOI: 10.3402/dfa.v3i0.18409

Kimberlee B Hobizal, Dane K Wukich

引用次数: 178

Conservative treatment of an anterior-lateral ankle dislocation without an associated fracture in a diabetic patient: a case report. 保守治疗糖尿病患者前外侧踝关节脱位无相关骨折1例报告。

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-06-05 DOI: 10.3402/dfa.v3i0.18411

Panagiotis K Karampinas, Ioannis P Stathopoulos, John Vlamis, Vasilios D Polyzois, Spyros G Pneumatikos

引用次数: 10

The use of propeller perforator flaps for diabetic limb salvage: a retrospective review of 25 cases. 螺旋桨穿支皮瓣在糖尿病残肢修复中的应用:回顾性分析25例。

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-10-01 DOI: 10.3402/dfa.v3i0.18978

Alexandru V Georgescu, Ileana R Matei, Irina M Capota

{"title":"The use of propeller perforator flaps for diabetic limb salvage: a retrospective review of 25 cases.","authors":"Alexandru V Georgescu, Ileana R Matei, Irina M Capota","doi":"10.3402/dfa.v3i0.18978","DOIUrl":"https://doi.org/10.3402/dfa.v3i0.18978","url":null,"abstract":"Background: Peripheral vascular disease and/or diabetic neuropathy represent one of the main etiologies for the development of lower leg and/or diabetic foot ulcerations, and especially after acute trauma or chronic mechanical stress. The reconstruction of such wounds is challenging due to the paucity of soft tissue resources in this region. Various procedures including orthobiologics, skin grafting (SG) with or without negative pressure wound therapy and local random flaps have been used with varying degrees of success to cover diabetic lower leg or foot ulcerations. Other methods include: local or regional muscle and fasciocutaneous flaps, free muscle and fasciocutaneous, or perforator flaps, which also have varying degrees of success.Patients and methods: This article reviews 25 propeller perforator flaps (PPF) which were performed in 24 diabetic patients with acute and chronic wounds involving the foot and/or lower leg. These patients were admitted beween 2008 and 2011. Fifteen PPF were based on perforators from the peroneal artery, nine from the posterior tibial artery, and one from the anterior tibial artery.Results: A primary healing rate (96%) was obtained in 18 (72%) cases. Revisional surgery and SG for skin necrosis was performed in six (24%) cases with one complete loss of the flap (4%) which led to a lower extremity amputation.Conclusions: The purpose of this article is to review the use of PPF as an effective method for soft tissue coverage of the diabetic lower extremity and/or foot. In well-controlled diabetic patients that present with at least one permeable artery in the affected lower leg, the use of PPF may provide an alternative option for soft tissue reconstruction of acute and chronic diabetic wounds.","PeriodicalId":45385,"journal":{"name":"Diabetic Foot & Ankle","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3402/dfa.v3i0.18978","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30964089","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: 24

The current role of endovascular intervention in the management of diabetic peripheral arterial disease. 血管内介入治疗在糖尿病外周动脉疾病治疗中的作用

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-10-01 DOI: 10.3402/dfa.v3i0.18977

Benjamin J Pearce, Boulos Toursarkissian

引用次数: 10

The pathogenesis of Charcot neuroarthropathy: current concepts. Charcot神经关节病的发病机制:目前的概念。

Diabetic Foot & Ankle Pub Date : 2012-01-01 Epub Date: 2012-01-10 DOI: 10.3402/dfa.v3i0.12236

Shelly A M Larson, Patrick R Burns

引用次数: 48