Pehde Collin E, Bennett John, Kingston Megan
College of Podiatric Medicine and Surgery, Des Moines University, 3200 Grand Avenue, Des Moines, IA 50312, USA.
College of Podiatric Medicine and Surgery, Des Moines University, 3200 Grand Avenue, Des Moines, IA 50312, USA.
Clin Podiatr Med Surg. 2020 Apr;37(2):215-230. doi: 10.1016/j.cpm.2019.12.001. Epub 2020 Jan 30.
Diabetic foot ulcers remain a challenge to practitioners and costly to health care systems. They range from simple to complex and many treatment options are available. By following standard wound care protocols to ensure adequate blood supply, infection control, debridement, wound management, and offloading many diabetic foot ulcers heal in a timely fashion. For those that do not, an underlying foot and ankle musculoskeletal abnormality must be suspected and treated concomitantly with soft tissue treatment. This article presents a systematic orthoplastics approach for surgical treatment of diabetic foot ulcers using the soft tissue reconstructive ladder and the musculoskeletal reconstructive matrix.
糖尿病足溃疡对从业者来说仍是一项挑战，对医疗保健系统而言成本高昂。它们从简单到复杂不等，有多种治疗选择。通过遵循标准的伤口护理方案，以确保充足的血液供应、控制感染、清创、伤口管理以及减轻压力，许多糖尿病足溃疡能及时愈合。对于那些未愈合的溃疡，必须怀疑存在潜在的足踝部肌肉骨骼异常，并在进行软组织治疗的同时加以处理。本文介绍一种系统的矫形外科方法，利用软组织重建阶梯和肌肉骨骼重建矩阵对糖尿病足溃疡进行手术治疗。
