Diabetic Foot Center, Nanjing Junxie Hospital, Nanjing, Jiangsu, China.
Department of Orthopaedics, Nanjing First Hospital, Nanjing, Jiangsu, China.
Front Endocrinol (Lausanne). 2023 Jun 16;14:1198818. doi: 10.3389/fendo.2023.1198818. eCollection 2023.
Heel ulcer is one of the severe complications of patients with diabetes mellitus, which poses a high risk for foot infection and amputation, especially in patients with peripheral arterial disease and neuropathy. Researchers have searched for new treatments for treating diabetic foot ulcers in recent years. In this case report, we demonstrated the treatment of large ischemic ulcers for the first time in a diabetic patient. The overall treatment goal of this patient was designed to improve blood supply to her diseased lower extremities and close the ulcer. This two-stage reconstruction approach resulted in an ulcer-free, stable, plantigrade foot at postoperative follow-up.
足跟溃疡是糖尿病患者的严重并发症之一，可导致足部感染和截肢的高风险，尤其是在合并外周动脉疾病和周围神经病变的患者中。近年来，研究人员一直在寻找治疗糖尿病足溃疡的新方法。在本病例报告中，我们首次展示了一位糖尿病患者的大型缺血性溃疡的治疗方法。该患者的整体治疗目标旨在改善下肢的血液供应并闭合溃疡。这种两阶段的重建方法使术后随访时患者的足部无溃疡、稳定且足底承重。
