| Strategic
Reconstruction of Diabetic Foot |
| 당뇨병성 족부병변의 부위에 따른 전략적 재건 |
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손대구; 박병주; 한기환 |
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| Abstract |
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Diabetic foot is one of the most
frequent complications with
nephropathy and retinopathy in patients with diabetes mellitus. Approximately
4.9% of diabetic patients admitted suffer from foot problems and it tends to
increase every year. The major causes of diabetic foot have been known to be diabetic
neuropathy and peripheral vascular diseases. The objective of this study was
to devise a strategic surgical treatment of the diabetic foot for limb salvage and
early ambulation. We studied 22 cases of diabetic foot of 20 patients for 4 years
since May; 1998. The patients in cluded 13 males and 7 females in age ranging
from 37 to 68 (mean 52) years. According to the sites of the wound involved; we
classified the patients into 4 groups and the surgical operations were performed
for resforation of the function of the site involved. Except one patient who had
received skin graft; all the patients had primary wound healing in operated sites
without specific complications and they were able to do early ambulation. We concluded
that; with appropriate preoperative evaluation and operation; effective
postoperative care would reduce amputation rate and help to achieve early rehabilitation. |
| Key Words:
Diabetic foot,
Strategic reconstruction |
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