Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padova, Via Giustiniani 2, Padova 35128, Italy; Minimally Invasive Foot and Ankle Society (MIFAS by GRECMIP), 2 Rue Georges Negrevergne, Merignac 33700, France.
Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padova, Via Giustiniani 2, Padova 35128, Italy.
Foot Ankle Clin. 2022 Sep;27(3):545-566. doi: 10.1016/j.fcl.2022.02.003. Epub 2022 Aug 6.
In more than 30 years of scientific literature (1986-2021), the few published studies on the management of CPDFUs by DMOs showed satisfactory clinical and radiographic outcomes. Although these reports were all case series, their data suggest that DMOs, performed at a different level of the distal metatarsal bones, are an effective surgical treatment option for achieving rapid healing of CPDFUs and preventing their recurrence after balancing the pressures in diabetic forefeet. Hence, DMOs can be a valid alternative treatment method also for CPDFUs with chronic infection, ulcers penetrating deep structures, and even ulcers with osteomyelitis at the metatarsophalangeal level.
在超过 30 年的科学文献（1986-2021 年）中，少数关于 DMO 治疗 CPDFU 的研究报告显示出满意的临床和影像学结果。尽管这些报告都是病例系列，但它们的数据表明，在不同的跖骨远端水平进行 DMO 是一种有效的手术治疗选择，可以实现 CPDFU 的快速愈合，并防止糖尿病前足压力平衡后其复发。因此，DMO 也可以作为慢性感染、穿透深层结构的溃疡，甚至在跖趾关节水平伴有骨髓炎的溃疡的有效治疗方法。
