|
KMID : 1190620050010010057
|
|
Journal of the Korean Wound Care Society
2005 Volume.1 No. 1 p.57 ~ p.60
|
|
|
Treatment of Diabetic Foot Wound by Vascular Reconstruction
|
|
Jung Eui-Seok
Oh Kap-Sung
Bang Sa-Ik
Hyun Won-Sok
Mun Goo-Hyun
Lim So-Young
|
|
|
Abstract
|
|
|
|
Among people with diabetes, 15% will experience ulceration of feet in their lifetime. Approximately 20% of all diabetic patients admitted for foot problems. Moreover, about 14∼24% of people with a foot ulcer will require amputation. Therefore diabetic foot is the leading cause of nontraumatic lower extremity amputation. It means the human and financial costs of diabetic ulceration are catastrophic. Flap coverage is needed for the foot ulcer which including avascular tissue such as tendon and bone. However, local flap is not available when defect is too large and free flap is impossible when no recipient vessel is available. Moreover, peripheral sensation shows notable decrease in diabetic neuropathic patients. Therefore, they are prone to have diabetic foot wound. In that most of diabetic foot patients have poor blood supply, it is hard to heal the wound either by flap surgery or secondary intention. Therefore surgeon must evaluate vascular supply of the wound and consider revascularization when indicated. We experienced a case of 60-year-old male patient who had a chronic diabetic foot ulceration that could not be covered with flap. Moreover, graft was failed twice. After femoropopliteal bypass surgery, ulceration was improved and skin graft was taken up completely. We report this case to emphasize the importance of vascularity for wound healing. (J Korean Wound Care Soc 2005;1:57-60)
|
|
|
KEYWORD
|
|
|
Diabetic foot, Bypass, Revascularization
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|