Treating a case of diabetic stump ulceration after Chopart's amputation with total contact casting.

Autor: Ruff G; Helen L. and Martin S. Kimmel Hyperbaric & Advanced Wound Healing Center, NYU Grossman School of Medicine, New York, NY., Iannuzzi L; Department of Physical Therapy, Helen L. and Martin S. Kimmel Hyperbaric & Advanced Wound Healing Center, NYU Grossman School of Medicine, New York, NY., Ross F; Department of Surgery, Helen L. and Martin S. Kimmel Hyperbaric and Advanced Wound Healing Center, NYU Langone Health, NYU Grossman School of Medicine, New York, NY.
Jazyk: angličtina
Zdroj: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2024 Aug 02; Vol. 10 (6), pp. 101589. Date of Electronic Publication: 2024 Aug 02 (Print Publication: 2024).
DOI: 10.1016/j.jvscit.2024.101589
Abstrakt: Chopart's amputation is a limb length-preserving amputation that retains function but often suffers from stump ulcerations. We report a case of a 68-year-old male patient with poorly controlled type 2 diabetes mellitus and peripheral arterial disease who underwent left Chopart's amputation, presenting subsequently with nonhealing ulcers at the Chopart stump and heel for >1 year. Total contact casting was initiated, resulting in rapid wound healing without further interventions. This case highlights total contact casting's effectiveness in managing ulcerations post-Chopart's amputation, potentially preventing revision amputations, and extending its usefulness to complex foot anatomy in patients with diabetes and peripheral arterial disease.
Competing Interests: None.
(© 2024 The Authors.)
Databáze: MEDLINE