Godoy-Santos Alexandre L, Amodio Daniel T, Pires André, Lima Ana L M, Wei Teng H, de Cesar-Netto Cesar, Armstrong David G
Department of Orthopedic Surgery, University of São Paulo , São Paulo , Brazil.
Department of Orthopedic Surgery, Hospital do Coraçao , São Paulo , Brazil.
Diabet Foot Ankle. 2017 Jan 16;8(1):1270076. doi: 10.1080/2000625X.2016.1270076. eCollection 2017.
The aim of this case report was to describe a successful diabetic limb salvage procedure in the treatment of an infected diabetic foot ulcer through a multidisciplinary team approach and complex surgical reconstruction involving a femoral head bone allograft and musculocutaneous latissimus dorsi free flap. The decision to proceed with aggressive staged efforts at diabetic limb salvage should be made only after careful consultation with the patient, his or her family, and the rest of the multidisciplinary healthcare team.
本病例报告的目的是描述通过多学科团队方法及涉及股骨头同种异体骨移植和背阔肌游离肌皮瓣的复杂手术重建,成功进行糖尿病肢体挽救手术以治疗感染性糖尿病足溃疡的过程。只有在与患者及其家属以及多学科医疗团队的其他成员仔细协商后,才应决定积极分阶段进行糖尿病肢体挽救工作。