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KMID : 1190620070030010014
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Journal of the Korean Wound Care Society
2007 Volume.3 No. 1 p.14 ~ p.18
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The Availability of Ultrasound Device in Diabetic Foot Ulcer
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Baek Rong-Min
Heo Chan-Yeong
Eun Seok-Chan
Kim Jung-Yoon
Chang Hak
Minn Kyung-Won
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Abstract
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Chronic wound problems can develop after trauma, infection, cancer, radiation therapy, frostbite, animal bites, and immobility. They become more complex when the patient has underlying diabetes mellitus, peripheral vascular disease, autoimmune disease, neuropathy, steroid dependence, or venous stasis. Repetitive surgical debridement, revascularization when necessary, antibiotics, and dressings form the foundation of wound management. Despite considerable laboratory and clinical study, no single therapy has proved beneficial for all types of wounds. These wounds demand an aggressive and multifactorial approachs and several adjuvant treatment methods have been developed to stimulate healing further. Low-frequency ultrasonic debridement (LFUD) is a promising adjunct to wound care, which offers relatively painless debridement and bacterial biofilm destruction. We performed LFUD on 20 patients over 1.5 years, with a minimum follow-up of 3 months. Eleven of the wounds (55%) completely healed primarily, seven patients (35%) experienced a wound-size reduction of at least 50%. The remaining 2 patients (10%) underwent amputation. In conclusion, LFUD has had an favorable experience of diabetic foot wound treatment in our institution, so we introduced these novel technique with review of the literatues. (J Korean Wound Care Soc 2007;3:14-18)
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KEYWORD
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Ultrasound, Debridement, Wound healing
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