Puente SA, Escamilla OA, Serralde AA, Rizo SG, Sieiro MM, Félix AD

Language: Spanish
References: 11
Page: 297-301
PDF size: 69.05 Kb.

ABSTRACT

This is a series of 27 diabetic patients who were reviewed in a 42-month span because of infected diabetic foot as a result of incomplete arterial obstruction as it was diagnosed by angiography. Standard initial treatment included preventive vascular measures, surgical debridement for infected tissue, antibiotics and metabolic control of diabetes. Reconstructive surgery is always performed once the general and local conditions of patients have, improved. No vascular or reconstructive surgery was carried out in the same, time of debridement. Exposition of tendons and bone in the dorsal aspect of the foot was present in 8 out of the 27 patients, 5 had plantar sores, 5 had nechrosis of tip, toes, 3 had maleolar sores and in 6 there was exposition of the tibia and knee. Reconstructive surgery included 3 gastrocnemius flaps, 3 fascio-cutaneous flaps, 5 local skin flaps and 27 skin grafts. No case of mortality was recorded. As complications there were one case of loss of the skin graft because of Candida infection, second ulceration in a different region in 3 and 3 cases of sepsis. Combined treatment for sore reconstruction in the lower limbs has given excellent results in most diabetic patients.

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