당뇨병성 족부병변의 부위에 따른 전략적 재건

Abstract

Diabetic foot is one of the most frequent complications with nephropathy and retinopathy in patients with diabetes mellitus. Approximately 4.9% of diabetic patients admitted suffer from foot problems and it tends to increase every year. The major causes of diabetic foot have been known to be diabetic neuropathy and peripheral vascular diseases. The objective of this study was to devise a strategic surgical treatment of the diabetic foot for limb salvage and early ambulation. We studied 22 cases of diabetic foot of 20 patients for 4 years since May, 1998. The patients in cluded 13 males and 7 females in age ranging from 37 to 68 (mean 52) years. According to the sites of the wound involved, we classified the patients into 4 groups and the surgical operations were performed for resforation of the function of the site involved. Except one patient who had received skin graft, all the patients had primary wound healing in operated sites without specific complications and they were able to do early ambulation. We concluded that, with appropriate preoperative evaluation and operation, effective postoperative care would reduce amputation rate and help to achieve early rehabilitation.