A novel approach to the management of the diabetic foot: Metatarsal excision in the treatment of osteomyelitis

被引：7

作者：

Freeman, G. J. ^{[1
]}

Mackie, K. M. ^{[1
]}

Sare, J. ^{[1
]}

Walsh, A. K. M. ^{[1
]}

Pherwani, A. D. ^{[1
]}

机构：

[1] Univ Hosp N Staffordshire, NHS Trust, Dept Vasc Surg, Stoke On Trent ST4 6QG, Staffs, England

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2007年 / 33卷 / 02期

关键词：

metatarsal filleting; diabetic; osteomyelitis;

D O I：

10.1016/j.ejvs.2006.10.008

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective. To describe the procedure and outcomes of metatarsal excision in seven patients treated for osteomyelitis in the diabetic foot. Results. Average age was 60.6 (48-83) years. The mean length of hospital stay was 33.5 (3-50) days (excluding one patient who died from hospital acquired pneumonia). All remaining patients had negative wound cultures after a mean 7.4 (0-20) days of antibiotic treatment after procedure and were discharged fro in hospital 16.9 (2-48) days after surgery. Two patients developed wound infections after discharge. Pre-operative levels of mobility were achieved within a mean of 12.6 days (range 2-40). Conclusions. In diabetic patients, metatarsal excision may be better than transmetatarsal amputation.

引用

页码：217 / 219

页数：3

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