Ramanujam Crystal L, Zgonis Thomas
Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive-MSC 7776, San Antonio, TX 78229, USA.
Clin Podiatr Med Surg. 2011 Apr;28(2):421-7, ix. doi: 10.1016/j.cpm.2011.02.003.
Diabetic chronic wounds with joint sepsis and osteomyelitis of the hindfoot can be difficult pathologic entities to treat. Limb salvage approaches are based on careful preoperative evaluation, surgical technique, and postoperative care. This article reviews the overall management of subtalar joint osteomyelitis with a case report showing primary arthrodesis with external fixation and soft tissue coverage with a reverse sural artery neurofasciocutaneous flap.
伴有后足关节脓毒症和骨髓炎的糖尿病慢性伤口是难以治疗的病理实体。保肢方法基于仔细的术前评估、手术技术和术后护理。本文回顾了距下关节骨髓炎的整体治疗，并通过一例病例报告展示了采用外固定进行一期关节融合术以及使用逆行腓肠神经营养血管皮瓣进行软组织覆盖的治疗过程。
