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In the clinic in 2007-2010 yrs 123 patients were treated for diabetic foot syndrome (DFS). In 29 (34.1%) of them the foot phlegmon was diagnosed, including 9 (31%), suffering osteomyelitis of 2-3 metatarsal bones. Neuropathic form of DFS was diagnosed in 20 (69%) and angiopathic one - in 9 (31%) patients. In a day of admittance to hospital 26 (89.7%) patients were operated, in a one day, after conduction of purposeful preoperative preparation - 3 (10.3%). Incomplete sutures were put on, the flow cleansing of wounds, using antiseptic solutions, were used. Wounds were treated in accordance to course of the wound process phases. Besides antibacterial and desintoxication therapy conduction, peripheral vasodilators, hypoxants, and in neuropathic form of DFS the group B vitamins and preparations of alpha-lipoic acid, were prescribed. All the patients have recovered. A stationary treatment term of patients, suffering neuropathic form of DFS, have constituted at average (16.3 +/- 4.2) days, and in angiopathic one - (19.4 +/- 3.6) days. The foot support ability was secured in 96.6% of patients. |
