严重的慢性糖尿病前足骨髓炎用内部脚踏截肢和水泥治疗:初步报告
Kaissar Yammine1,2,3, Joseph Mouawad1, Youssef Jamaleddine1
1Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, Beirut, Lebanon.
Foot & ankle orthopaedics
|November 20, 2025
概括
抗生素浸的水泥与节约脚手术相结合,有效治疗了糖尿病足骨髓炎 (DFO). 这种方法在少数病例系列中导致了高治愈率和患者满意度.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 足部医学是一门专业.
背景情况:
- 糖尿病足骨髓炎 (DFO) 管理往往缺乏使用抗生素浸水泥的保守手术的数据.
- 从急性到慢性DFO在前脚感染中提出了重大挑战.
研究的目的:
- 评估结合抗生素浸的聚甲基甲酸 (PMMA) 水泥与急性或慢性DFO的脚切除的结果.
- 评估这种联合手术方法的疗效和患者满意度.
主要方法:
- 一项描述性研究包括六名确诊患有急性或慢性DFO的患者.
- 手术干预涉及整体元切除/切除 (内部踏板截肢) 与部分骨切除,以MRI为指导.
- 在骨缺陷中使用混合了米素的聚甲基甲酸盐 (PMMA) 水泥,随后进行了至少6个月的随访.
主要成果:
- 所有患者的伤口愈合,C-反应蛋白水平正常化,没有骨髓炎复发的迹象.
- 一名患者患上了伤口感染,并通过除菌和洗成功治疗.
- 五名患者报告极度满意,一名报告中度满意;所有患者都能使用内全身重量行走.
结论:
- 聚甲基甲酸 (PMMA) 水泥是DFO内部踏板截肢中局部感染控制的可行选择.
- 综合方法显示了高的愈合率和积极的美学结果,导致了显著的患者满意度.
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