在管理糖尿病前脚的两阶段方法
Madhu Tiruveedhula1, Anna Graham1, Ankur Thapar1
1Basildon Hospital, Mid and South Essex University Foundation Trust, Basildon, United Kingdom.
Foot & ankle international
|November 8, 2023
概括
糖尿病足的两阶段治疗,包括肌-阿基里斯延长 (TAL) 和骨切除术 (MTO),有效地治愈脚部. 这种方法为持久或复发的糖尿病脚病提供了安全和耐受良好的解决方案.
科学领域:
- 足部医学是一门专业.
- 糖尿病人的足部护理
- 手术创新 在外科创新.
背景情况:
- 糖尿病神经病变会导致前脚的足底,原因是剪切力增加.
- 突出的足底骨突出加剧了的形成.
研究的目的:
- 描述持续或复发的糖尿病前脚的两阶段治疗途径.
- 使用皮革肌-阿基里斯延长 (TAL),然后进行近端甲足骨切除术 (MTO).
主要方法:
- 包括112名患有146名非血前足的患者.
- 在TAL.后的12-36个月内,对96英尺进行了跟踪.
- 根据MRI发现,持久性经历了第二阶段的MTO.
主要成果:
- 96%的在TAL后10周内愈合.
- 10%的无法愈合或复发,需要MTO.
- 在MTO之后,12个月没有观察到的复发或转移病变.
结论:
- 门诊的TAL,然后是行走造,有效地治愈了96%的糖尿病前脚.
- 第二阶段的MTO为持久病例提供了无的结果.
- 这种两阶段的方法是安全的,耐受性很好,对于糖尿病足是有效的.
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