Therapeutic Potential of a Low-Cost Device for Wound Healing: A Study of Three Cases of Healing After Lower-Extremity Amputation in Patients With Diabetes

被引:11
|
作者
Vidal, Alejandra [1 ]
Giacaman, Annesi [1 ]
Oyarzun-Ampuero, Felipe A. [2 ]
Orellana, Sandra [2 ]
Aburto, Isabel [3 ]
Pavicic, Maria F. [1 ]
Sanchez, Alfonso [4 ,5 ]
Lopez, Claudia [5 ]
Morales, Carlos [2 ]
Caro, Marianela [6 ]
Moreno-Villoslada, Ignacio [2 ]
Concha, Miguel [1 ]
机构
[1] Univ Austral Chile, Fac Med, Inst Anat Histol & Patol, Valdivia 5110566, Chile
[2] Univ Austral Chile, Fac Ciencias, Inst Ciencias Quim, Valdivia 5110566, Chile
[3] Inst Nacl Heridas, Santiago, Chile
[4] Univ Austral Chile, Fac Med, Inst Cirugia, Valdivia 5110566, Chile
[5] Hosp Clin Reg Valdivia, Policlin Pie Diabet, Valdivia, Chile
[6] Serv Salud Valdivia, Valdivia, Chile
关键词
wound healing; diabetic ulcers; angiogenic device; HEALTH;
D O I
10.1097/MJT.0b013e318235f309
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Diabetic foot ulcers constitute a tremendous challenge for patients, caregivers, and health care systems. The high incidence and high financial costs associated with their treatment have transformed them in a health and economic worldwide problem. The increase in population life expectancy and lifestyle changes have facilitated the spreading of diabetes, rising diabetic foot ulcer incidence. Only 60%-80% of the patients achieve healing of ulcers, and the incidence of a second ulcer, in the same or different site of the foot that has had a previous ulcer, is approximately 50% in 2-5 years. In addition, ulcers with duration longer than 4 weeks are commonly associated with bad results in healing and an increased risk of amputation. Three patients with type 2 diabetes mellitus have been subjected to treatment with NL.1.2, a low-cost, biocompatible solid device that presented pro-angiogenic properties. The selected patients had undergone amputation, and their wounds, classified as Wagner II, did not show a significant progress in healing after a period of 2-5 months before treatment with NL.1.2. Complete closure of their wounds was achieved in 42-60 days.
引用
收藏
页码:394 / 398
页数:5
相关论文
共 25 条
  • [1] Wound Healing in Older Adults after Major Lower Extremity Amputation
    Donzo, Maja Wichhart
    Forrester, Nathaniel
    Hu, Chengcheng
    Mize, Brandi M.
    Duwayri, Yazan
    Vaughan, Camille P.
    Alabi, Olamide
    ANNALS OF VASCULAR SURGERY, 2025, 113 : 13 - 20
  • [2] THE CLINICAL-VALUE OF PREOPERATIVE INDIRECT SYSTOLIC ANKLE PRESSURE MEASUREMENTS IN WOUND-HEALING AFTER AMPUTATION OF THE LOWER-EXTREMITY
    VANSOEST, MGA
    BRESLAU, PJ
    JORNING, PJG
    GREEP, JM
    NETHERLANDS JOURNAL OF SURGERY, 1985, 37 (03): : 75 - 78
  • [3] Healing potential of lower-extremity ulcers in patients with arterial insufficiency with and without revascularixation
    McCulloch, SV
    Marston, WA
    Farber, MA
    Fulton, JJ
    Keagy, BA
    WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE, 2003, 15 (12): : 390 - 394
  • [4] Adjuvant Lymphatic Osteopathic Manipulative Treatment in Patients With Lower-Extremity Ulcers: Effects on Wound Healing and Edema
    Kilgore, Teresa
    Malia, Marilyn
    Di Giacinto, Brian
    Minter, Stephanie
    Samies, John
    JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION, 2018, 118 (12): : 798 - 805
  • [5] Preoperative Transcutaneous Oxygen Perfusion Measurements in Predicting Atraumatic Wound Healing After Major Lower Extremity Amputation
    Noori, Naudereh
    Haruno, Lee
    Schroeder, Ian
    Vrahas, Mark
    Little, Milton
    Moon, Charles
    Lin, Carol
    ORTHOPEDICS, 2022, 45 (03) : 174 - 180
  • [6] HbA1c and Lower-Extremity Amputation Risk in Low-Income Patients With Diabetes
    Zhao, Wenhui
    Katzmarzyk, Peter T.
    Horswell, Ronald
    Wang, Yujie
    Johnson, Jolene
    Heymsfield, Steven B.
    Cefalu, William T.
    Ryan, Donna H.
    Hu, Gang
    DIABETES CARE, 2013, 36 (11) : 3591 - 3598
  • [7] Low-Cost Wound Healing Protocol Reduces Infection and Reoperation Rates After Cranioplasty: A Retrospective Cohort Study
    Rae, Ali I.
    O'Neill, Brannan E.
    Godil, Jamila
    Fecker, Adeline L.
    Ross, Donald
    NEUROSURGERY, 2023, 93 (06) : 1220 - 1227
  • [8] N-Acetyl-Cysteine Treatment after Lower Extremity Amputation Improves Areas of Perfusion Defect and Wound Healing Outcomes
    Lee, Jin V.
    Engel, Connor
    Tay, Shirli
    Desai, Kshitij
    DeSilva, Gayan
    Semenkovich, Clay
    Zayed, Mohamed
    JOURNAL OF VASCULAR SURGERY, 2021, 73 (03) : E39 - E40
  • [9] Hypertonic saline solution 5% as an effective cost-beneficial alternative to normal saline for wound healing in patients with diabetic lower-extremity ulcers: a randomized controlled trial
    Ziaian, Bizhan
    Khezri, Samad
    Amirian, Armin
    Ranjbar, Keivan
    Shahriarirad, Reza
    Kohnaki, Mariye Eskandari
    JOURNAL OF DIABETES AND METABOLIC DISORDERS, 2023, 22 (01) : 479 - 485
  • [10] Hypertonic saline solution 5% as an effective cost-beneficial alternative to normal saline for wound healing in patients with diabetic lower-extremity ulcers: a randomized controlled trial
    Bizhan Ziaian
    Samad Khezri
    Armin Amirian
    Keivan Ranjbar
    Reza Shahriarirad
    Mariye Eskandari Kohnaki
    Journal of Diabetes & Metabolic Disorders, 2023, 22 : 479 - 485