足底外植骨切除术治疗糖尿病足中畸形的安全性和有效性:系统综述。

IF 1.5
Natalia H Fernández-Ospina, Mateo López-Moral, Raúl J Molines-Barroso, Marta García-Madrid, Esther García-Morales, José Luis Lázaro-Martínez
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引用次数: 0

摘要

Charcot神经骨关节病患者残留畸形的处理是一项治疗挑战。足中部是最常受影响的区域,导致典型的摇臂畸形。在这些骨突出部位进行手术切除提供了一种非重建的方法来消除压力,使溃疡愈合或在保守措施失败时防止其发展。本综述共包括11项研究,旨在评估外植体切除术在预防Charcot中足患者骨突下溃疡复发及其主要并发症方面的效果。第一次手术后,60%的患者成功切除外体,90.7%的患者成功切除外体。当在外侧柱下进行手术时,似乎有更多不同的并发症。在执行此程序时必须考虑到这一事实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Safety and Efficacy of Plantar Exostectomies for the Management of Diabetic Charcot Midfoot Deformity: A Systematic Review.

Management of residual deformity in patients with Charcot Neuro-osteoarthropathy represents a therapeutic challenge. The midfoot is the most frequently affected area, leading to the typical rocker-bottom deformity. Surgical exostectomy in these areas of bony prominences offers a non-reconstructive method to remove pressure and allow ulcers to heal or prevent their development when conservative measures fail. This review includes a total of 11 studies, aimed to assess the outcome of exostectomies in the prevention and recurrence of ulcers under the bony prominence in patients with Charcot midfoot and its main complications. Exostectomy was successful in 60% of cases after the first surgery and in 90.7% of cases in total. The procedure, when done below the lateral column, seems to have a higher number of diverse complications. This fact must be taken into account when performing this procedure.

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