Treatment of the Diabetic Foot with Exposed Os Calcis

With improved methods of medical care, the survival rates in all types of diabetes are improving. There are increasing numbers of older diabetics with complicated soft tissue problems. This is a report of our experiences in treating 15 consecutive patients with soft tissue defects involving the hindfoot. Each of these patients had an intact forefoot.

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Organization of stage rehabilitation of servicemen with gunshot defects of soft tissues at the levels of medical care

Medicni perspektivi (Medical perspectives) ◽

10.26641/2307-0404.2021.4.248228 ◽

2021 ◽

Vol 26 (4) ◽

pp. 188-195

Author(s):

K.D. Babov ◽

I.P. Khomenko ◽

S.V. Tertyshnyi ◽

Babova I.K. Babova I.K. ◽

R.S. Vastianov

Keyword(s):

Surgical Treatment ◽

Soft Tissue ◽

Medical Care ◽

Soft Tissues ◽

Lower Extremities ◽

Gunshot Wounds ◽

Care Quality ◽

Rehabilitation Service ◽

Soft Tissue Defects ◽

Tissue Defects

Building a modern system of rehabilitation of servicemen in Ukraine is an integral part of providing medical care in armed conflict. Rehabilitation of servicemen after gunshot wounds with soft tissue defects of the lower extremities is a common but difficult problem for surgical and rehabilitation teams. The process of rehabilitation requires the implementation of certain methodological provisions. At present, medical care for servicemen is a four-levels’ one. Rehabilitation service is provided at the third and fourth levels of medical care. The aim of the study was to improve the quality of medical care for servicemen after gunshot wounds with soft tissue defects of the lower extremities by introducing a system of staged rehabilitation. Organizational and methodological bases of the system of staged rehabilitation of wounded servicemen with soft tissue defects at different levels of medical care have been developed. Two models of rehabilitation depending on the severity of the injury and the tactics of surgical treatment are proposed. The division of the stage of early sanatorium rehabilitation for the wounded with severe soft tissue injuries depending on the stage of surgical treatment and the formation of a "skin patch" is justified. The introduction of the proposed models of rehabilitation of wounded with soft tissue defects in the practice of early sanatorium rehabilitation will provide increasing of medical care quality.

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Biomedical Technologies in the Treatment of Skin and Soft Tissue Defects in Patients with Diabetic Foot Syndrome

International Journal of Biomedicine ◽

10.21103/article6(1)_oa8 ◽

2016 ◽

Vol 6 (ё) ◽

pp. 41-45 ◽

Cited By ~ 1

Author(s):

Magomed Dibirov ◽

◽

Rasul Gadzhimuradov ◽

Konstantin Koreiba ◽

Aidar Minabutdinov ◽

...

Keyword(s):

Soft Tissue ◽

Diabetic Foot ◽

Diabetic Foot Syndrome ◽

Soft Tissue Defects ◽

Biomedical Technologies ◽

Tissue Defects

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Skin Grafting in the Treatment of Diabetic Foot Soft Tissue Defects

Chirurgia ◽

10.21614/chirurgia.113.5.644 ◽

2018 ◽

Vol 113 (5) ◽

pp. 644 ◽

Cited By ~ 1

Author(s):

Anca Bordianu ◽

Florin Bobircă ◽

Traian Pătraşcu

Keyword(s):

Soft Tissue ◽

Diabetic Foot ◽

Skin Grafting ◽

Soft Tissue Defects ◽

Tissue Defects

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IMPLEMENTATION THE PRINCIPLES OF RECONSTRUCTIVE SURGERY WOUNDED WITH SOFT TISSUE DEFECTS AT THE IV LEVEL OF MEDICAL CARE

World Science ◽

10.31435/rsglobal_ws/31102020/7215 ◽

2020 ◽

Author(s):

Хоменко І. П. ◽

Гуменюк К. В. ◽

Король С. О. ◽

Михайлусов Р. М. ◽

Тертишний С. В. ◽

...

Keyword(s):

Soft Tissue ◽

Medical Care ◽

Soft Tissues ◽

Surgical Care ◽

Relative Number ◽

Functional Results ◽

Surgical Trauma ◽

Soft Tissue Defects ◽

Surgical Tactics ◽

Tissue Defects

Resume. The experience of providing medical care during the anti-terrorist operation in eastern Ukraine has shown that in the structure of modern combat surgical trauma gunshot wounds with soft tissue defects are 64.9-68.2%, of which 36.4-37.5% small and medium, 28.5-30.7% are large and very large defects. Goal: To improve the results of surgical care for soft tissue defects by introducing differentiated surgical tactics for wound closure to each level. Material and methods. The total amount of the study was 136 wounded with shrapnel, bullet and explosive injuries from April 2014 to September 2018. Determination of surgical tactics for closing soft tissue defects was performed on the basis of metric classification, taking into account the area, volume and anatomical areas of the lesion. Results. The combination of metric characteristics of wound defects by area, volume and location of wounds in a single classification allowed to offer a comprehensive approach to sorting the wounded by the level of medical care and determine further reconstructive surgical tactics to close soft tissue defects. Conclusions. The introduction of differentiated surgical tactics in wounded with gunshot defects of the soft tissues at the all levels of medical care improved functional results: the proportion of satisfactory increased from 46.9% to 53.7%, the relative number of unsatisfactory decreased from 18.8% to 11.6%

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THE FIRST STAGE RECONSTRUCTION OF THE SOFT TISSUE DEFECTS OF GUNSHOT WOUNDS

INTERNATIONAL ACADEMY JOURNAL Web of Scholar ◽

10.31435/rsglobal_wos/30062020/7129 ◽

2020 ◽

pp. 31-35

Author(s):

І. П. Хоменко ◽

К. В. Гуменюк ◽

Є. В. Цема ◽

Р. М. Михайлусов ◽

С. В. Тертишний ◽

...

Keyword(s):

Surgical Treatment ◽

Soft Tissue ◽

Medical Care ◽

Military Personnel ◽

Functional Ability ◽

Soft Tissues ◽

Gunshot Wounds ◽

Soft Tissue Defects ◽

Tissue Defects

The aim. To investigate and used a multimodal diagnostic scheme during the first stage of reconstructive surgical treatment of wounded with soft tissue defects at the second level of medical care.Materials and methods. By identifying thermographic areas with gunshot wounds of the soft tissues, we observed at the second level of medical care during 4 months of 2020 (from March to July) 37 cases.Results. We used a multimodal scheme in the pre-, intra- and postoperative period helps to reduce the area of defects in 23 (62.2%) cases out of 37 against the background of restoration and preservation of microcirculation in the damaged structure, and the number of subjectively unsatisfactory military personnel in 4 (12.8%) of the total the number of wounded, a decrease in the loss of functional ability in 19 (51.2%) cases.Conclusions. The combination of dynamic digital thermography in combination with an audio doppler at the second level of medical care can improve the quality of primary surgical treatment by performing surgery with clear indications of the proposed technique; maintain a larger volume of viable tissues, reduce the area of the defect and the number of complications in the further treatment of the wounded.

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