用全接触铸造治疗一例肖巴特截肢术后糖尿病残肢溃疡病例

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-08-02 DOI:10.1016/j.jvscit.2024.101589

Garrett Ruff BS , Louis Iannuzzi DPT , Frank Ross MD

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引用次数: 0

摘要

Chopart's 截肢是一种保留肢体长度的截肢手术，它可以保留肢体功能，但往往会出现残端溃疡。我们报告了一例 68 岁男性患者的病例，该患者患有控制不佳的 2 型糖尿病和外周动脉疾病，接受了左侧 Chopart 截肢手术。患者接受了全接触式石膏固定，结果伤口迅速愈合，无需进一步干预。本病例强调了全接触石膏术在控制Chopart截肢术后溃疡方面的有效性，有可能防止再次截肢，并将其应用范围扩大到糖尿病和外周动脉疾病患者的复杂足部解剖。

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Treating a case of diabetic stump ulceration after Chopart's amputation with total contact casting

Chopart's amputation is a limb length-preserving amputation that retains function but often suffers from stump ulcerations. We report a case of a 68-year-old male patient with poorly controlled type 2 diabetes mellitus and peripheral arterial disease who underwent left Chopart's amputation, presenting subsequently with nonhealing ulcers at the Chopart stump and heel for >1 year. Total contact casting was initiated, resulting in rapid wound healing without further interventions. This case highlights total contact casting's effectiveness in managing ulcerations post-Chopart's amputation, potentially preventing revision amputations, and extending its usefulness to complex foot anatomy in patients with diabetes and peripheral arterial disease.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.