Soft-tissue reconstruction for recalcitrant diabetic foot wounds

1999 ◽  
Vol 38 (6) ◽  
pp. 388-393 ◽  
Author(s):  
Brenda K. Cohen ◽  
David D. Zabel ◽  
E. Douglas Newton ◽  
Alan R. Catanzariti
2010 ◽  
Vol 3 (5) ◽  
pp. 241-248 ◽  
Author(s):  
Claire M. Capobianco ◽  
John J. Stapleton ◽  
Thomas Zgonis

Foot complications and ulceration are well-known sequelae to uncontrolled diabetes. Patients with chronic foot ulcers or wounds resulting from surgical debridement of deep-space infections are at continued risk for development of osteomyelitis and potential amputation. Moreover, these wounds often necessitate multiple outpatient clinic visits, daily dressing care, and prolonged periods of non—weight bearing, all of which have been shown to adversely affect the patient’s quality of life. After a prudent period of wound-healing response, the authors believe that early and aggressive soft tissue reconstruction is in the patient’s best interest and is crucial for resolution of the chronic nonhealing wound. The options for soft tissue coverage and the logical progression of application of these techniques in the diabetic foot will be described.


2003 ◽  
Vol 20 (4) ◽  
pp. 757-781 ◽  
Author(s):  
Gary Peter Jolly ◽  
Thomas Zgonis ◽  
Peter Blume

2019 ◽  
Vol 36 (3) ◽  
pp. 425-440 ◽  
Author(s):  
Todd A. Hasenstein ◽  
Timothy Greene ◽  
Jennifer C. Van ◽  
Andrew J. Meyr

2014 ◽  
Vol 3 (1) ◽  
pp. 62-69
Author(s):  
Kshemendra Senarath-Yapa ◽  
Rebecca Garza ◽  
Adrian McArdle ◽  
Graham Walmsley ◽  
Michael Hu ◽  
...  

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zhao Yang ◽  
Chao Xu ◽  
Yong-Gang Zhu ◽  
Jun Li ◽  
Zi-Xiang Wu ◽  
...  

Abstract Objective This study aimed to retrospectively analyze clinical data of a series of patients with severe open fractures of extremities (Gustilo IIIb or IIIc), who achieved a satisfactory outcome through radical orthoplastic surgery, so as to provide a reference for determining the treatment of severe open fractures of extremities. Methods The clinical data of 41 consecutive patients with severe open fracture (Gustilo IIIb or IIIc) of the limb, who underwent successful surgical debridement, fixation, and soft tissue reconstruction in one stage between January 2008 and January 2019, were retrospectively reviewed. Postoperative indicators, including infection rate and union time, were acquired by a regular follow-up and analyzed. Results The mean (±SD) age of the patients was 38 ± 16 years. A total of 90 open fractures and severe soft tissue damages were analyzed. The soft tissue cover was achieved within 72 h. The overall rate of infection was 14.6% (6/41). Sex and the Mangled Extremity Severity Score were associated with infection. The median union time of 40 patients (one amputation) was 32 weeks. Conclusion The overall rate of infection exhibited a lower tendency in this study compared with previous studies on high-grade open fractures following a two-stage orthopedic approach. The consequence of infection rate and union time was similar to that in previous studies. These results indicated that the single-stage radical orthoplastic treatment was an effective and reliable option for reconstructing severe open fractures.


2009 ◽  
Vol 124 (1) ◽  
pp. 144-155 ◽  
Author(s):  
Alex Senchenkov ◽  
Steven L. Moran ◽  
Paul M. Petty ◽  
James Knoetgen ◽  
Nho V. Tran ◽  
...  

2021 ◽  
Vol 54 (3) ◽  
pp. 567-581
Author(s):  
Jennifer Moy ◽  
Mark K. Wax ◽  
Myriam Loyo

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