Botezatu I, Laptoiu D
Colentina Clinical Hospital, Bucharest, Romania.
J Med Life. 2016 Jul-Sep;9(3):249-254.
The term diabetic foot is usually used to indicate advanced foot pathology (complex clinical situations correlating diabetic foot ulcers, diabetic foot infections, Charcot foot, and critical limb ischemia). The early recognition of the etiology of these foot lesions is essential for the therapeutic decision in order to achieve a good functional result. Several surgical procedures involving the foot have been developed in order to promote healing and avoid complications. Traditionally, surgery has been performed in an open way. The literature regarding the performance and efficacy of classical osteotomies and arthrodesis is inconsistent. This can be attributed to several variables, such as differences in patient clinical aspects and the panel of surgical techniques utilized. As with other surgical specialties, fluoroscopic imaging and minimally invasive tools are now being incorporated in these procedures. The use of high speed burrs associated with specialized osteosynthesis implants, offers several advantages over classical techniques. The ability to associate these gestures to complex protocols is beginning to be currently developed. The respect for the soft tissues is considered one of the first advantages. Despite the limited time since they were introduced in clinical practice, functional results seemed to be consistent, supporting the use of this technology.
糖尿病足这一术语通常用于表示足部的晚期病变（与糖尿病足溃疡、糖尿病足感染、夏科氏关节病和严重肢体缺血相关的复杂临床情况）。早期识别这些足部病变的病因对于治疗决策至关重要，以便获得良好的功能结果。为了促进愈合并避免并发症，已经开发了几种涉及足部的外科手术。传统上，手术是以开放方式进行的。关于经典截骨术和关节融合术的操作及疗效的文献并不一致。这可归因于几个变量，如患者临床情况的差异以及所采用的手术技术组合。与其他外科专业一样，荧光透视成像和微创工具现在正被纳入这些手术中。与专门的骨合成植入物相关联的高速磨钻的使用，相对于传统技术具有若干优势。将这些操作与复杂方案相结合的能力目前正开始得到发展。对软组织的保护被认为是首要优势之一。尽管这些技术引入临床实践的时间有限，但功能结果似乎是一致的，这支持了这项技术的使用。
