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Volume 6
Issue 2
Online publication date 2011-04-04
Title Surgical reconstruction in diabetic foot syndrome
Author Telman Kamalov, Saidganikhodzha Ismailov, Zilola Dosova, Khamidulla Shokirov, Umid Shoyusupov, Sherzod Inagamov
Abstract Considerable morbidity upon spontaneous wound healing (phlegmons, osteomyelitis, and purulent osteoarthritis of metatarsophalangeal joint) as well as loss of the diseased foot’s walking ability are among the reasons for transition to plastic surgery in management tactics. The longer foot lesion persists, the higher probability of amputation. Improvement of treatment of both wound and ulcer lesions by means of reconstructive surgery in patients with diabetic foot syndrome was the main aim of the study. Outcomes of treatment of 460 patients managed at the Center for the Scientific and Clinical Study of Endocrinology, within the period from 2001 to 2009 were analyzed. Size, form, depth and localization of a wound, tissue composition of the wound bed as well as circulation in skin flaps caused the choice of specific operation: autodermoplasty by Parin (with the split-thickness skin flap), local tissue plastic operation (with the sliding or inter-advancing skin flaps, flaps from previously amputated toe or Indian flaps), plastic operation with the controlled tissue tension or combined plastic operation. Reconstructive foot wound surgery allows restoring load-bearing function of the extremity much earlier in contrast to spontaneous healing, reducing incidence of post-operative and long-term complications, amputations and re-amputations, decreasing period of treatment.
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Nikitin, G., Kartashev, I., Rak, A., Averyushkin, A. et al., 2001. “Plastic surgery of chronic and neuro-trophic ulcers” [Plasticheskaya khirurgiya khronicheskikh i neiro-troficheskikh yazv], in Russian, Saint-Petersburg: Russian Graphics Publishing House, pp.131-65
Tokmakova, A., Myskina, N., Arbuzova, M., 2003. “Physiology of tissue reparation in patients with chronic ulcers of lower limbs. Urgent aspects of pathogenesis, diagnosis and treatment of lower extremity lesions in patients with diabetes mellitus,” in: Antsiferov, M. (Ed.), Collected lectures for clinicians [Sbornik lekciy dlya vrachey], in Russian, Moscow, pp.75-94

Keywords Diabetic foot syndrome, reconstructive surgery, wound closure
Pages 55-59
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