Institute for Advanced Wound Care, Montgomery, AL.
Wounds. 2022 May;34(5):151-153. doi: 10.25270/wnds/2022.151153.
Ulcers of the distal toe are common in patients with toe deformities and many times are complicated by osteomyelitis of the phalanx. Amputation of the toe is the standard treatment in many institutions; however, this can lead to abnormal biomechanics of the foot predisposing the patient to recurrent ulceration and further amputations, especially in patients with diabetes and those with neuropathy. It has been found that conservative, local operative procedures to remove the infected bone can avoid these complications and even avoid long-term antibiotic therapy. Many of these procedures can be performed in the wound clinic. To show its utility, a case report of this procedure and a small series of these patients treated in the wound clinic are presented.
远趾溃疡在趾畸形患者中很常见，且很多时候并发趾骨骨髓炎。许多机构的标准治疗是截趾；但是，这会导致足部生物力学异常，使患者容易再次发生溃疡和进一步截肢，尤其是在糖尿病和神经病变患者中。已经发现，去除感染骨的保守局部手术可以避免这些并发症，甚至可以避免长期使用抗生素治疗。许多这样的手术都可以在创伤科门诊进行。为了说明其效用，我们报告了一例该手术病例，并介绍了在创伤科门诊治疗的一小系列此类患者。
