外固定架骨搬移系统修复糖尿病足:功能与影像学评价

Ilizarov bone transport for repair of diabetic foot:a functional and imaging evaluation

背景:既往治疗糖尿病足的方法不仅效果不理想,而且花费也较大,常常需要截肢。目的:通过对Wagner 3-4期糖尿病足患者行外固定架骨搬移,观察其保肢情况。方法:选取2013年12月至2015年6月期间在广西医科大学第一附属医院骨关节科住院的18例Wagner3-4期糖尿病足患者,行外固定骨搬移治疗。结果与结论:18例患者均获得随访,随访时间3-20个月,溃疡均已愈合;与治疗前相比,治疗后患者踝肱指数和10 g尼龙线测试结果均明显提高,而目测类比评分明显下降。提示外固定骨搬移治疗Wanger3-4期糖尿病足的有效方法之一。

BACKGROUND：Previous therapies for diabetic foot are not ideal with large cost, and moreover, amputation is often required. OBJECTIVE： To perform the Ilizarov bone transport in the treatment of patients with diabetic foot （Wanger grades 3-4）, and to observe the limb salvage conditions. METHODS： Eighteen patients with diabetic foot, Wanger grades 3-4, admitted in the Department of Bone and Joint Surgery, First Affiliated Hospital of Guangxi Medical University from December 2013 to June 2015 were enroled in this trial. Al of patients were subjected to Ilizarov bone transport. RESULTS AND CONCLUSION： Al the 18 patients were folowed up for 3 to 20 months, and presented with ulcer healing. Scores on ankle-brachial index and 10-g nylon line test were both increased significantly in the patients after treatment, but the visual analog scale scores were reduced. These findings indicate that the Ilizarov bone transport is an effective method for treating ulcer of diabetic foot at Wanger grades 3-4.