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糖尿病手部感染的早期肌腱转移术

Early Tendon Transfer in Diabetic Hand Infection.

作者信息

Ilavarasan Sushmi, R Manimaran, Kanchana Koppolu, Raghupathy T

机构信息

General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.

Plastic Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.

出版信息

Cureus. 2025 Apr 29;17(4):e83189. doi: 10.7759/cureus.83189. eCollection 2025 Apr.

Abstract

Hand infections in diabetic patients are a serious concern, as they can lead to significant functional impairment and, if not promptly treated, may result in extensive tissue destruction or even sepsis. Unlike diabetic foot infections, hand infections are less understood and often present unique challenges in management. Diabetic patients are at an increased risk due to factors such as neuropathy, impaired immune function, and poor wound healing. These infections, if neglected, can result in permanent disability. This report presents a rare case of a diabetic hand infection that was complicated by compartment syndrome, a condition that further exacerbates the risk of tissue damage. Due to the nature of the infection and the rapid progression of compartment syndrome, immediate surgical intervention was necessary. Early tendon transfer, a technique not commonly used in such infections, was employed to restore function and prevent further damage. The case highlights the importance of early recognition and aggressive management of diabetic hand infections. Prompt surgical intervention, including tendon transfer, can play a critical role in preventing long-term disability. This case contributes to the limited body of literature on diabetic hand infections, emphasizing the need for tailored treatment approaches to address the specific complications that arise in such cases.

摘要

糖尿病患者的手部感染是一个严重问题,因为它们可导致严重的功能障碍,若不及时治疗,可能会导致广泛的组织破坏甚至败血症。与糖尿病足感染不同,手部感染的了解较少,在管理方面常常带来独特的挑战。由于诸如神经病变、免疫功能受损和伤口愈合不良等因素,糖尿病患者面临的风险增加。这些感染若被忽视,可能导致永久性残疾。本报告呈现了一例罕见的糖尿病手部感染病例,该病例并发骨筋膜室综合征,这种情况进一步加剧了组织损伤的风险。由于感染的性质以及骨筋膜室综合征的快速进展,立即进行手术干预是必要的。早期肌腱转移是一种在此类感染中不常用的技术,被用于恢复功能并防止进一步损伤。该病例凸显了早期识别和积极处理糖尿病手部感染的重要性。及时的手术干预,包括肌腱转移,在预防长期残疾方面可发挥关键作用。该病例丰富了关于糖尿病手部感染的有限文献,强调了需要采用量身定制的治疗方法来应对此类病例中出现的特定并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8ac/12121684/64938b40bb97/cureus-0017-00000083189-i01.jpg

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