Frykberg Robert G, Bevilacqua Nicholas J, Habershaw Geoffrey
Carl T. Hayden VA Medical Center, Phoenix, AZ 85012, USA.
J Am Podiatr Med Assoc. 2010 Sep-Oct;100(5):369-84. doi: 10.7547/1000369.
Surgical intervention for chronic deformities and ulcerations has become an important component in the management of patients with diabetes mellitus. Such patients are no longer relegated to wearing cumbersome braces or footwear for deformities that might otherwise be easily corrected. Although surgical intervention in these often high-risk individuals is not without risk, the outcomes are fairly predictable when patients are properly selected and evaluated. In this brief review, we discuss the rationale and indications for diabetic foot surgery, focusing on the surgical decompression of deformities that frequently lead to foot ulcers.
针对慢性畸形和溃疡的手术干预已成为糖尿病患者治疗中的一个重要组成部分。这类患者不再因可能轻易矫正的畸形而只能穿戴笨重的支具或鞋子。尽管对这些通常处于高风险的个体进行手术干预并非毫无风险，但在正确选择和评估患者时，手术结果是相当可预测的。在这篇简短的综述中，我们讨论糖尿病足手术的基本原理和适应症，重点关注经常导致足部溃疡的畸形的手术减压。
