Abductor digiti minimi muscle flap in reconstruction of diabetic foot ulcers: A case series

2014 ◽  
Vol 37 (4) ◽  
pp. 227-232 ◽  
Author(s):  
S. S. Shirol ◽  
Geeta Nimbaragi ◽  
Mahesh Prabhu ◽  
Jaideep Ratkal
Keyword(s):  
Diabetic Foot ◽  
Case Series ◽  
Muscle Flap ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Abductor Digiti Minimi ◽  
Abductor Digiti Minimi Muscle

Punch Grafting for the Management of Hard-to-Heal Diabetic Foot Ulcers: A Prospective Case Series

2021 ◽  
pp. 153473462110310
Author(s):  
Marta García-Madrid ◽  
Irene Sanz-Corbalán ◽  
Aroa Tardáguila-García ◽  
Raúl J. Molines-Barroso ◽  
Mateo López-Moral ◽  
...  
Keyword(s):  
Wound Healing ◽  
Clinical Outcomes ◽  
Diabetic Foot ◽  
Donor Site ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Wound Debridement ◽  
Prospective Case Series

Punch grafting is an alternative treatment to enhance wound healing which has been associated with promising clinical outcomes in various leg and foot wound types. We aimed to evaluate the clinical outcomes of punch grafting as a treatment for hard-to-heal diabetic foot ulcers (DFUs). Six patients with chronic neuropathic or neuroischemic DFUs with more than 6 months of evolution not responding to conventional treatment were included in a prospective case series between May 2017 and December 2020. All patients were previously debrided using an ultrasound-assisted wound debridement and then, grafted with 4 to 6 mm punch from the donor site that was in all cases the anterolateral aspect of the thigh. All patients were followed up weekly until wound healing. Four (66.7%) DFUs were located in the heel, 1 (16.7%) in the dorsal aspect of the foot and 1 (16.7%) in the Achilles tendon. The median evolution time was 172 (interquartile range [IQR], 25th-75th; 44-276) weeks with a median area of 5.9 (IQR; 1.87-37.12) cm2 before grafting. Complete epithelization was achieved in 3 (50%) patients at 12 weeks follow-up period with a mean time of 5.67 ± 2.88 weeks. Two of the remaining patients achieved wound healing at 32 and 24 weeks, respectively, and 1 patient showed punch graft unsuccessful in adhering. The median time of wound healing of all patients included in the study was 9.00 (IQR; 4.00-28.00) weeks. The wound area reduction (WAR) at 4 weeks was 38.66% and WAR at 12 weeks was 88.56%. No adverse effects related to the ulcer were registered through the follow-up period. Autologous punch graft is an easy procedure that promotes healing, achieving wound closure in chronic DFUs representing an alternative of treatment for hard-to-heal DFUs in which conservative treatment has been unsuccessful.

Maggot debridement therapy to treat hard-to-heal diabetic foot ulcers: a single-centre study

2021 ◽  
Vol 30 (Sup12) ◽  
pp. S30-S36
Author(s):  
Harikrishna KR Nair ◽  
Nazni Wasi Ahmad ◽  
AA Ismail ◽  
Ali A Alabed ◽  
Benjamin Oh Zheming ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Case Series ◽  
Cost Effective ◽  
Lucilia Cuprina ◽  
Study Endpoint ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Necrotic Tissue ◽  
Maggot Debridement Therapy ◽  
Diabetic Wounds

Objective: Maggot debridement therapy (MDT) has seen a resurgence in recent years in the treatment of hard-to-heal wounds, as a result of rising antibiotic resistance. The sterilised larvae of Lucilia cuprina have been used in MDT in Malaysia since 2003, with encouraging results for the treatment of hard-to-heal diabetic wounds. We report a case series of 30 patients selected from our clinic by convenient sampling with diabetic lower limb ulcers treated with MDT. The average age of patients receiving MDT was >50 years. Of the 30 patients in the study, nine were female and 21 were male. All patients had underlying diabetes, two patients had leg ulcers and 28 patients had diabetic foot ulcers. Sterilised Lucilia cuprina larvae were applied via a standard method of 10 maggots per square centimetre and dressed with sterile gauze. The study endpoint was defined as ≤5% coverage with slough or necrotic tissue following three successive applications of MDT. In this study, maximum debridement of wounds was achieved in 96.6% (29 patients) of our patients, with ≤5% coverage with slough or necrotic tissue, in addition to a reduction in wound-related pain, as assessed by a visual analogue scale. No adverse events were reported. The findings of this study support the use of MDT as a safe, efficacious, and cost-effective method of managing diabetic wounds.

A case series of verrucae vulgares mimicking hyperkeratosis in individuals with diabetic foot ulcers

2017 ◽  
Vol 34 (8) ◽  
pp. 1165-1168
Author(s):  
D. R. Quast ◽  
M. A. Nauck ◽  
F. G. Bechara ◽  
J. J. Meier
Keyword(s):  
Diabetic Foot ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Verrucae Vulgares

Ultrasound-assisted debridement of neuroischaemic diabetic foot ulcers, clinical and microbiological effects: a case series

2018 ◽  
Vol 27 (5) ◽  
pp. 278-286 ◽  
Author(s):  
José Luis Lázaro-Martínez ◽  
Francisco Javier Álvaro-Afonso ◽  
Yolanda García-Álvarez ◽  
Raúl Juan Molines-Barroso ◽  
Esther García-Morales ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Ultrasound Assisted

Hard-to-heal diabetic foot ulcers treated using negatively charged polystyrene microspheres: a prospective case series

2019 ◽  
Vol 28 (2) ◽  
pp. 104-109
Author(s):  
José Luis Lázaro-Martínez ◽  
Yolanda García-Álvarez ◽  
Francisco Javier Álvaro-Afonso ◽  
Esther García-Morales ◽  
I Sanz-Corbalán ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Polystyrene Microspheres ◽  
Prospective Case Series

An evaluation of an ultrasonic debridement system in patients with diabetic foot ulcers: a case series

2018 ◽  
Vol 27 (4) ◽  
pp. 222-228 ◽  
Author(s):  
Ferdinando Campitiello ◽  
Manfredi Mancone ◽  
Angela Della Corte ◽  
Raffaella Guerniero ◽  
Silvestro Canonico
Keyword(s):  
Diabetic Foot ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers

An exercise program for people with severe peripheral neuropathy and diabetic foot ulcers – a case series on feasibility and safety

2018 ◽  
Vol 42 (2) ◽  
pp. 183-189
Author(s):  
Kajsa Lindberg ◽  
Britt Sundekilde Møller ◽  
Klaus Kirketerp-Møller ◽  
Morten Tange Kristensen
Keyword(s):  
Peripheral Neuropathy ◽  
Diabetic Foot ◽  
Case Series ◽  
Exercise Program ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers

Mini Invasive Floating Metatarsal Osteotomy for Diabetic Foot Ulcers Under the First Metatarsal Head: A Case Series

2020 ◽  
pp. 153473462093457
Author(s):  
Eran Tamir ◽  
Yossi Smorgick ◽  
Guy Zvi Ron ◽  
Ron Gilat ◽  
Gabriel Agar ◽  
...  
Keyword(s):  
Diabetic Neuropathy ◽  
Diabetic Foot ◽  
Case Series ◽  
Metatarsal Head ◽  
Minimal Invasive ◽  
Foot Ulcers ◽  
Metatarsal Osteotomy ◽  
Diabetic Foot Ulcers ◽  
First Metatarsal

Diabetic foot ulcers under the first metatarsal head are difficult to treat and prevent recurrence. The aim of this study is to summarize the results of a distal first metatarsal minimally invasive floating osteotomy for ulcers under the first metatarsal head in patients with diabetic neuropathy. We reviewed files of patients with diabetic neuropathy undergoing a floating first metatarsal osteotomy. Demographic and clinical data were collected and analyzed to determine success and complications. We found records for 21 patients (mean age 64) with University of Texas 1A ulcers. The ulcer’s mean age was 11.2 months. Following surgery, the ulcer completely resolved after a mean of 3.7 (2 to 11) weeks in 19 patients. During the first year, there were 4 complications related to the surgery (including 3 infections). At latest follow-up, 17/21 (81%) patients had healed with satisfactory results. Minimal invasive floating distal osteotomy of the first metatarsal can cure and prevent recurrence of diabetic foot ulcers under the first metatarsal head in 80% of the patients, but the ability to provide close follow-up and prompt response are prerequisites.

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