NHS Lanarkshire Universities Hospitals, Lanarkshire, Scotland, UK; Glasgow Caledonian University, Glasgow, Scotland, UK; Department of Orthopaedics, Foot and Ankle Service Lead, Hairmyres University Hospital, 218 Eaglesham Road, East Kilbride, Glasgow G75 8RG, UK.
Foot Ankle Clin. 2022 Sep;27(3):567-581. doi: 10.1016/j.fcl.2022.05.001.
The last decade has seen a significant development in early surgical intervention for patients with or at risk of ulceration owing to deformity resulting from the sequalae of diabetic foot disease. Midfoot Charcot neuroarthropathy is the most common deformity; its correction is enabled by specialized surgical implants designed to maintain surgical corrections. There has also been an increasing number of orthopedic foot and ankle surgeons, with a specific interest in diabetic foot disease who provide early surgical correction in patients identified as high risk. Minimally invasive surgery using percutaneous incisions completes the triumvirate, facilitating earlier surgical intervention to decrease reulcerations.
过去十年，由于糖尿病足病后遗症导致溃疡或有溃疡风险的患者的早期外科干预取得了显著进展。中足夏科氏关节病是最常见的畸形；专门设计的外科植入物可用于维持手术矫正，从而实现对此类畸形的矫正。越来越多的矫形足踝外科医生对糖尿病足病特别感兴趣，他们为被认为是高危的患者提供早期手术矫正。采用经皮切口的微创手术完成了这一三联疗法，有助于更早地进行手术干预，以减少再溃疡。
