A novel approach to the management of the diabetic foot: metatarsal excision in the treatment of osteomyelitis.

Autor: Freeman GJ; Department of Vascular Surgery, Division of Anaesthesia and Surgery, University Hospital of North Staffordshire NHS Trust, Stoke-on-Trent, UK., Mackie KM, Sare J, Walsh AK, Pherwani AD
Jazyk: angličtina
Zdroj: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [Eur J Vasc Endovasc Surg] 2007 Feb; Vol. 33 (2), pp. 217-9. Date of Electronic Publication: 2006 Nov 28.
DOI: 10.1016/j.ejvs.2006.10.008
Abstrakt: Objective: To describe the procedure and outcomes of metatarsal excision in seven patients treated for osteomyelitis in the diabetic foot.
Results: Average age was 60.6 (48-83) years. The mean length of hospital stay was 33.5 (3-50) days (excluding one patient who died from hospital acquired pneumonia). All remaining patients had negative wound cultures after a mean 7.4 (0-20) days of antibiotic treatment after procedure and were discharged from hospital 16.9 (2-48) days after surgery. Two patients developed wound infections after discharge. Pre-operative levels of mobility were achieved within a mean of 12.6 days (range 2-40).
Conclusions: In diabetic patients, metatarsal excision may be better than transmetatarsal amputation.
Databáze: MEDLINE
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