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负压伤口治疗在糖尿病夏科氏足和踝关节伤口管理中的应用

Negative-pressure wound therapy in the management of diabetic Charcot foot and ankle wounds.

作者信息

Ramanujam Crystal L, Stapleton John J, Zgonis Thomas

机构信息

University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.

出版信息

Diabet Foot Ankle. 2013 Sep 23;4:20878. doi: 10.3402/dfa.v4i0.20878.

Abstract

As the prevalence of diabetes mellitus continues to rise, innovative medical and surgical treatment options have increased dramatically to address diabetic-related foot and ankle complications. Among the most challenging clinical case scenarios is Charcot neuroarthropathy associated with soft tissue loss and/or osteomyelitis. In this review article, the authors present a review of the most common utilizations of negative-pressure wound therapy as an adjunctive therapy or combined with plastic surgery as it relates to the surgical management of diabetic Charcot foot and ankle wounds.

摘要

随着糖尿病患病率持续上升,为应对与糖尿病相关的足踝并发症,创新的医学和手术治疗选择急剧增加。最具挑战性的临床病例情况之一是伴有软组织缺损和/或骨髓炎的夏科氏神经关节病。在这篇综述文章中,作者对负压伤口治疗作为辅助治疗或与整形手术联合应用于糖尿病夏科氏足踝伤口手术管理的最常见用途进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/182c/3782614/40f8ac19ca61/DFA-4-20878-g001.jpg

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