scholarly journals Tibial Cortex Transverse Distraction Combined With Debridement and Vacuum Sealing Drainage for Diabetic Foot Ulcers: Validation of Previous Published Study

2021 ◽  
Author(s):  
Zhi-Qiang Fan ◽  
De-Wu Liu
Keyword(s):  
Diabetic Foot ◽  
Visual Analogue Score ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Level Of Evidence ◽  
Vacuum Sealing ◽  
Pin Site ◽  
One Year ◽  
Tibial Cortex ◽  
Vacuum Sealing Drainage

Abstract Objective: Tibial cortex transverse distraction (TCTD) has been recently reported in treating diabetic foot ulcers. However, there is no further studies verifying the effectiveness. We performed TCTD combined with debridement and vacuum sealing drainage (VSD) for diabetic foot ulcers to test the effectiveness.Methods: This study includes 25 patients with diabetic foot ulcers from 3 hospitals. The ulcers of all the cases didn't heal for over 3 months. Then we performed TCTD combined with debridement and VSD for them. After the surgery, the patients were regularly followed-up for more than one year.Results: Among all the patients, one case underwent amputation because of aggravated infections. There were no cases with complication like tibia fractures. Pin-site infections occurred in 2 patients. The infected pin-site healed after changing dressings for 2 weeks. For the rest 22 patients, their ulcers healed at postoperative 8.2 ± 4.5 weeks. The postoperative visual analogue score (VAS) which indicated pain degree, reduced significantly when compared with preoperative VAS.Conclusions: When combined with other measures like debridement and VSD, TCTD can bring advantages for patients diagnosed with diabetic foot ulcers, and the trauma of this operation remains a factor to be considered.Type of study/level of evidence: Therapeutic IV.

scholarly journals Tibial cortex transverse distraction in treating diabetic foot ulcers: what are we concerned about?

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095469
Author(s):  
Zhi-Qiang Fan ◽  
Zhi-Hao Yu ◽  
Jing-Zhou Zheng ◽  
Bao-Fu Yu ◽  
De-Wu Liu
Keyword(s):  
Diabetic Foot ◽  
Operative Procedure ◽  
Case Series ◽  
Visual Analog Scale Score ◽  
Tibial Fractures ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Pin Site ◽  
Tibial Cortex ◽  
Vacuum Sealing Drainage

Objective To assess the effect and complications of tibial cortex transverse distraction (TCTD) in treating diabetic foot ulcers and draw attention to the concerning issues of this procedure. Methods This case series included 30 patients with diabetic foot ulcers from four centers. The ulcers had not healed after >6 months. The patients then underwent TCTD combined with other procedures (debridement, vacuum sealing drainage, and others). All patients were followed up for >12 months postoperatively. Results Three patients underwent amputation because of aggravated infections. Tibial fractures occurred in two patients after surgery, and the fractures healed after 3 months of plaster fixation. Pin-site infections occurred in five patients, and the infected pin site healed after the patients underwent pin removal and dressing changes for 3.3 ± 2.1 weeks. The ulcers of the other 27 patients healed by 13.5 ± 8.2 weeks postoperatively, and the postoperative visual analog scale score was significantly lower than the preoperative score. Conclusions Although TCTD can be performed as an adjuvant treatment for diabetic foot ulcers, the effect should not be exaggerated and the complications should not be ignored. Further research is needed to propose a standard operative procedure and avoid postoperative complications such as tibial fractures.

scholarly journals A Bibliometric Analysis of the Top-Cited Articles on Diabetic Foot Ulcers

2021 ◽  
Author(s):  
Jiasheng You ◽  
Chao Liu ◽  
Yixin Chen ◽  
Weifen Zhu ◽  
Shunwu Fan ◽  
...  
Keyword(s):  
Bibliometric Analysis ◽  
Diabetic Foot ◽  
Median Number ◽  
Scientific Discipline ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Level Of Evidence ◽  
Bibliometric Method ◽  
Academic Publications ◽  
The Impact

Abstract Background: Citation analysis is a bibliometric method for appraising the impact of academic publications in any given scientific discipline. There is a paucity of literature concerning influential works on diabetic foot ulcers (DFUs). Aims: To determine the top-cited articles in the field of DFU research.Methods: A bibliometric analysis of citations indexed in the Scopus and the Web of Science databases was conducted in January 2021 to determine all publications related to DFU. The 50 top-cited articles that met the inclusion criteria were ranked. Articles were evaluated for several characteristics including year of publication, country of origin, authorship, publishing journal, topic categories, publishing type and level of evidence.Results: The median number of citations per article in the list was 442 (interquartile range [IQR], 320-520), with a median of 21.8 citations (IQR, 16.5-34.5) per year since publication. The publication years ranged from 1986 to 2017, with 1998 accounting for the greatest number of studies (n = 7). The citation classics were published in 20 journals and originated from institutions in nine countries. The majority of the studies were clinical, of which expert-opinion/review with Level V evidence and clinical studies with Levels I and II evidence comprised the greater proportion in the list.Conclusions: This study identified the top-cited articles and provides useful insights into the history and development of DFU research. Our findings may serve as a quick reference for education curriculums and clinical practice, in addition to providing a foundation for further studies on this topic.

scholarly journals Proximal Tibial Cortex Transverse Distraction Facilitating Healing and Limb Salvage in Severe and Recalcitrant Diabetic Foot Ulcers

2020 ◽  
Vol 478 (4) ◽  
pp. 836-851 ◽  
Author(s):  
Yan Chen ◽  
Xiaocong Kuang ◽  
Jia Zhou ◽  
Puxiang Zhen ◽  
Zisan Zeng ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Tibial Cortex

scholarly journals An Analysis of Guideline Consensus for the Prevention, Diagnosis and Management of Diabetic Foot Ulcers

2021 ◽  
Author(s):  
Anthony B Karabanow ◽  
Ina Zaimi ◽  
Luis B. Suarez ◽  
Mark D. Iafrati ◽  
Geneve M Allison
Keyword(s):  
Diabetic Foot ◽  
Clinical Care ◽  
Foot Ulcers ◽  
Future Research ◽  
Diabetic Foot Ulcers ◽  
Level Of Evidence ◽  
Diagnosis And Management ◽  
Randomized Controlled ◽  
Evidence Review ◽  
Minimal Evidence

BACKGROUND: Multiple organizations have issued guidelines to address the prevention, diagnosis and management of diabetic foot ulcers. These guidelines are based on evidence review and expert opinion. <p>METHODS: Literature review was conducted and guidelines were reviewed to identify consensus (or lack thereof) on the nature of these recommendations, the strength of the recommendations and the level of evidence.</p> <p>RESULTS: Most guidelines were not based on highest level of evidence (randomized controlled trials). A listing of recommendations for prevention, diagnosis and management was created with evidence basis for all recommendations.</p> <p>CONCLUSIONS: Areas for future research were identified among recommendations based on minimal evidence, areas of controversy, or in areas of clinical care without recommendations.</p>

scholarly journals A one year cross sectional study on role of Wagner’s classification in predicting the outcome in diabetic foot ulcer patients

2018 ◽  
Vol 5 (7) ◽  
pp. 2537
Author(s):  
Praveena D. L. ◽  
Shashi M. Uppin ◽  
S. S. Shimikore
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Cross Sectional Study ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Cross Sectional ◽  
Grade Ii ◽  
One Year

Background: Diabetes mellitus-related foot ulceration is very common. Several classification systems for diabetic foot ulcers have been proposed. The present study was intended to assess the role of Wagner wound classification in predicting the outcome of diabetic foot ulcer and also know the grade of Wagner’s classification to which majority of diabetic foot ulcer patients.Methods: This present one year cross sectional study was carried out at the Department of General Surgery. A total of 100 patients with diabetic foot ulcer who presented during the study period were included. The diabetic foot ulcers were graded according to the Wagner’s classification. The relative risk of amputation in different grades of diabetic foot ulcer based on Wagner classification was determined.Results: In this study majority of the patients were males (79%) and the male to female ratio was 3.76:1. The mean age was noted as 55.8±10.45 years. Majority of the patients had duration of ulcer less than one month (88%). Surrounding skin was inflamed in 60% of the patients, necrosis was present in 40% and slough was noted in 98% while 44% of the patients had necrotic tissue. Based on Wagner’s Classification, most of the patients (48%) had Grade II diabetic foot ulcers. With regard to management, in 44% of the patients’ debridement was done and 36% of the patients had disarticulation or amputation in 36%. Of the 48 patients with grade II ulcer, 79% of the patients had healing without amputation. Of the 58 patients with grade I and II diabetic foot ulcers, 82.76% had healing without amputation compared to 17.24% of the patients who needed amputation. Patients with Grade III, IV and V had 3.59 times higher risk of amputation compared to patients with grade I and II. (p<0.001; 95% CI- 1.95 to 6.62).Conclusions: Grading of diabetic foot ulcer based on Wagner’s classification affects and predicts the outcome and the risk of amputation increases with increasing grade. Most of the patients admitted for diabetic foot ulcers in our hospital belonged to Wagner’s grade II (48%).

scholarly journals Healing of Diabetic Foot Ulcers in Patients Treated at the Copenhagen Wound Healing Center in 1999/2000 and in 2011/2012

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Marie Louise Buhl Sørensen ◽  
Rasmus Bo Jansen ◽  
Therese Wilbek Fabricius ◽  
Bo Jørgensen ◽  
Ole Lander Svendsen
Keyword(s):  
Wound Healing ◽  
Median Time ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Healing Time ◽  
Foot Ulcers ◽  
Time Range ◽  
Diabetic Foot Ulcers ◽  
One Year

Aim. To describe differences in healing time of diabetic foot ulcers for patients treated at the Copenhagen Wound Healing Center, Bispebjerg Hospital, between the years 1999/2000 and 2011/2012. The Center is highly specialized and receives diabetes patients with hard-to-heal foot ulcers. A further aim is to attempt to find predictors of healing time of diabetic foot ulcers. Methods. A retrospective descriptive study of records from patients with diabetic foot ulcer treated at the Copenhagen Wound Healing Center in 1999, 2000, 2011, or 2012. Follow-up data was collected until the 3rd of August 2018. Results. Median time (range) to healing was 6 (61.3) months in 1999/2000 and 6.6 (67.8) in 2011/2012 (p=0.2). About 33% of ulcers were healed, 17% were minor or major amputated, and 1.5% were dead within one year in 1999/2000, whereas 30% of ulcers were healed (p=0.6), 14% were amputated (p=0.2), and 12.8% were dead within one year in 2011/2012 (p<0.001). The single factor found significantly associated with longer ulcer duration was infection. Related to shorter ulcer duration were toe localization of the ulcer and good glycemic control. Conclusion. The median time to healing of a diabetic foot ulcer was long, around 6 months and with a high recurrence rate in 1999/2000 as well as in 2011/2012. Some factors were found to be significantly related to healing time, and intervention addressing these may improve the time to heal, although such interpretations must be taken with precaution from the present study and should be proven in randomized prospective intervention trials.

scholarly journals One‐year safety, healing and amputation rates of Wagner 3‐4 diabetic foot ulcers treated with cryopreserved umbilical cord ( TTAX01 )

2020 ◽  
Vol 28 (4) ◽  
pp. 526-531
Author(s):  
William A. Marston ◽  
John C. Lantis ◽  
Stephanie C. Wu ◽  
Aksone Nouvong ◽  
John Randolph Clements ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
One Year
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