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The Role of External Fixation in Treatment of Diabetic Foot Syndrome


Authors: M. Stašek;  V. Košťálek;  B. Hruban;  J. Pistulka
Authors‘ workplace: Chirurgické oddělení, Středomoravská nemocniční, a. s. – Odštěpný závod Nemocnice Prostějov přednosta: prim. MUDr. B. Hruban, CSc.
Published in: Rozhl. Chir., 2008, roč. 87, č. 5, s. 247-249.
Category: Monothematic special - Original

Overview

Background:
Charcot osteoarthropathy and osteomyelitis in the diabetic foot syndrome patients belong among the most serious states often indicated to amputation treatment. Target of the work is to consider possible treatment indication of external fixation.

Methods:
Retrospective study of 5 cases of Charcot osteoarthropathy and osteomyelitis with border indication of high amputation treated in our department using frame external fixation.

Results:
We reached long-term stabilisation of the disease in all patients with adequate technique and length of fixation and comprehensive treatment. We did not have to perform high amputation. We distinguished pin track irritation as common complication, in one case we observed pin tract infection. Treatment was well tolerated by the patients despite its demanding course and long-term duration.

Conclusion:
External fixation is often omitted modality in the treatment of Charcot osteoarthropathy and/or osteomyelitis in diabetic foot syndrome. It offers predictable and positive treatment results in thoroughly indicated cases.

Key words:
limb salvage surgery – external fixation – charcot osteoarthropathy – osteomyelitis – diabetes


Sources

1. Ústav zdravotnických informací a statistiky České republiky. Aktuální informace: Péče o nemocné s cukrovkou v České republice v letech 2000–2004. Praha: ÚZIS, 2001.

2. Jirkovská, A., et al. Syndrom diabetické nohy. Praha: Maxdorf, 2006.

3. Tošenovský, P., Edmonds, M. E., et al. Moderní léčba syndromu diabetické nohy. Praha, Galén, 2004.

4. Kolektiv autorů: Syndrom diabetické nohy. Mezinárodní konsensus vypracovaný Mezinárodní pracovní skupinou pro syndrom diabetické nohy. Praha, Galén, 2000.

5. Pupp, G. R., Wilusz, P. External Fixation: Is It The Answer For Diabetic Limb Salvage? Podiatry Today, 2004, roč. 17, č. 7, s. 62–66.

6. Saltzman, C. L. Salvage of Diffuse Ankle Osteomyelitis by Single-Stage Resection and Circumferential Frame Compression Arthrodesis. Iowa Orthop. J., 2005, roč. 25, s. 47–52.

7. Fejfarová, V., Jirkovská, A., et al. Použití fixačních materiálů k tvorbě fixačních dlah, rigidních a snímatelných fixací. Bulletin HPB, 2005, roč. 13, s. 107–110.

8. Szyszkowitz, R., et al. Unterschenkel. In: Tscherne Unfallchirurgie. Berlin, Heidelberg, Springer Verlag, 2003.

9. Barp, E. A., Nickles, W. A. Key Insights On Surgical Timing. In: Charcot Neuroarthropathy. Podiatry Today, 2006, roč. 19, č. 4, s. 22–27

10. Giurini, J. A Closer Look At Fixation Options For The Charcot Foot. Podiatry Today, 2005, roč. 18, č. 11, s. 16–21.

11. Armstrong, D. G., Peters, E. J. G. Charcot‘s arthropathy of the foot. International Diabetes Monitor, 2001, roč. 13, č.5, s. 1–5. www.medforum.nl/idm/leading_article8.htm

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