微创跖远端骨干截骨术治疗糖尿病足足底溃疡1例。

Q3 Medicine

Revista Brasileira de Ortopedia Pub Date : 2024-12-27 eCollection Date: 2024-11-01 DOI:10.1055/s-0044-1790194

Fernando Delmonte Moreira, Jorge Eduardo de Schoucair Jambeiro, Antero Tavares Cordeiro Neto, Roger Carneiro Dourado, Eduardo Carrilho Padula, Alex Guedes

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引用次数: 0

摘要

糖尿病足消耗了大量的资源，对生活质量产生了深远的负面影响，是成人下肢截肢的主要非创伤性原因。本报告描述了一个糖尿病患者复发性足底溃疡的地形头部的第二，第三和第四跖骨。患者采用远端跖骨骨干截骨术（DMDO）、近端拇指骨akin型经皮截骨术和清创术治疗。5年的术后随访显示愈合和预防新发作的良好结果。

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Minimally-invasive Distal Metatarsal Diaphyseal Osteotomy in the Treatment of Plantar Ulcer in the Diabetic Foot: A Case Report.

The diabetic foot consumes a large number of resources and has a profound negative impact on quality of life, representing the major non-traumatic cause of lower limb amputation in adults. The present report describes a diabetic patient with a recurrent plantar ulcer in the topography of the heads of the second, third, and fourth metatarsals. The patient was treated using the distal metatarsal diaphyseal osteotomy (DMDO) technique in these bones, an Akin-type percutaneous osteotomy in the proximal phalanx of the hallux, and debridement. The 5-year postoperative follow-up revealed good outcomes regarding healing and prevention of new episodes.

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