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严重糖尿病足感染的手术软组织闭合:生物制品、负压伤口治疗和皮肤移植的联合应用。

Surgical soft tissue closure of severe diabetic foot infections: a combination of biologics, negative pressure wound therapy, and skin grafting.

作者信息

Ramanujam Crystal L, Zgonis Thomas

机构信息

Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

出版信息

Clin Podiatr Med Surg. 2012 Jan;29(1):143-6. doi: 10.1016/j.cpm.2011.10.004. Epub 2011 Nov 17.

Abstract

Creative surgical strategies are often warranted for long-term closure of diabetic foot wounds. This article provides a case report describing the successive use of negative pressure wound therapy, advanced biologics, and split thickness skin grafting for healing an extensive surgical wound. Although the success of these therapies is enticing, their use should be based on careful patient selection in a multidisciplinary setting.

摘要

对于糖尿病足伤口的长期闭合,通常需要创新的手术策略。本文提供了一个病例报告,描述了负压伤口治疗、先进生物制剂和中厚皮片移植相继用于愈合大面积手术伤口的情况。尽管这些治疗方法的成功很诱人,但它们的使用应基于在多学科环境中对患者进行仔细的选择。

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