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Related Experiment Videos

[Brunner's technique for open wedge resection].

A Koller1, H H Wetz

  • 1Klinik und Poliklinik für Technische Orthopädie und Rehabilitation, Westfälische Wilhelms-Universität, Münster. Armin.Koller@uni-muenster.de

Der Orthopade
|March 21, 2003
PubMed
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Diabetic foot infections can lead to amputation. Surgical reconstruction using open wedge resection effectively treats severe infections, preserving mobility and quality of life for diabetic patients.

Area of Science:

  • Podiatric surgery
  • Diabetic foot complications

Background:

  • Diabetic foot infections pose a significant risk, often leading to major amputations due to delayed or inadequate treatment.
  • Effective surgical interventions are crucial for managing severe diabetic foot infections and preventing limb loss.

Purpose of the Study:

  • To evaluate the efficacy of surgical reconstruction with open wedge resection for severe diabetic foot infections.
  • To determine if this technique can prevent major amputations in diabetic patients with deep forefoot defects.

Main Methods:

  • A retrospective analysis of ten diabetic patients who underwent open wedge resection between 1996 and 2001.
  • Involved V-shaped excision of necrotic tissue, metatarsal osteotomy, and wound management with wet compresses.
  • Post-operative mobilization with interim footwear or orthotics.

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Main Results:

  • No recurrent ulcers or infections were observed during an average follow-up of 19 months.
  • Eight patients received custom orthopedic shoes; two were fitted with modified standard shoes.
  • The procedure successfully addressed deep forefoot defects, avoiding major amputations.

Conclusions:

  • Brunner's technique for open wedge resection is a radical yet appropriate surgical option for deep forefoot defects in diabetic patients.
  • This method effectively treats severe infections, significantly reducing the need for major amputations.
  • Patients retain a high degree of mobility and quality of life post-surgery.