Discussion on surgical treatment mode of diabetic foot wounds

Wei Zairong; Jian Yang

doi:10.3760/cma.j.cn501225-20230213-00044

Volume 39 Issue 4

Apr. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(4): 305-310

Wei ZR,Jian Y.Discussion on surgical treatment mode of diabetic foot wounds[J].Chin J Burns Wounds,2023,39(4):305-310.DOI: 10.3760/cma.j.cn501225-20230213-00044.

Citation:

Wei ZR,Jian Y.Discussion on surgical treatment mode of diabetic foot wounds[J].Chin J Burns Wounds,2023,39(4):305-310.DOI: 10.3760/cma.j.cn501225-20230213-00044.

Citation:

Wei ZR,Jian Y.Discussion on surgical treatment mode of diabetic foot wounds[J].Chin J Burns Wounds,2023,39(4):305-310.DOI: 10.3760/cma.j.cn501225-20230213-00044.

PDF( 2608 KB)

Discussion on surgical treatment mode of diabetic foot wounds

doi: 10.3760/cma.j.cn501225-20230213-00044

Wei Zairong^,,
Jian Yang

Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, China

Funds:

Collaborative Innovation Center of Chinese Ministry of Education 2020-39

Science and Technology Plan Project of Guizhou Province of China 2020-5012

Science and Technology Plan Project of Zunyi City 2021-3

More Information

Corresponding author: Wei Zairong, Email: zairongwei@163.com
Received Date: 2023-02-13

Abstract

Abstract

Diabetic foot wounds have a high incidence and uneven therapeutic effect, so it is necessary to explore the suitable treatment mode of diabetic foot wounds. The existing surgical treatment modes for diabetic foot wounds include the multi-disciplinary team (MDT) cooperation mode and the "five-in-one comprehensive limb salvage" treatment mode. These two modes have their own advantages, but are inconvenient to some extent. In response to this problem, the author's team proposed the wound surgical integrated treatment (WSIT) mode based on years of experience in repairing diabetic foot wounds, emphasizing the perioperative management by MDT, and the local wound management by WSIT team, which significantly improved the diagnosis and treatment efficiency of patients with diabetic foot wounds.
- Diabetic foot,
- Surgical flaps,
- Multi-disciplinary team,
- Wound surgical integrated treatment mode

FullText(HTML)

References(38)

References

[1]	van NettenJJ,BusSA,ApelqvistJ,et al.Definitions and criteria for diabetic foot disease[J].Diabetes Metab Res Rev,2020,36Suppl 1:Se3268.DOI: 10.1002/dmrr.3268.
[2]	《多学科合作下糖尿病足防治专家共识(2020版)》编写组.多学科合作下糖尿病足防治专家共识(2020版)全版[J].中华烧伤杂志,2020,36(8):E01-E52.DOI: 10.3760/cma.j.cn501120-20200217-01000.
[3]	ZhangP,LuJ,JingY,et al.Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis†[J].Ann Med,2017,49(2):106-116.DOI: 10.1080/07853890.2016.1231932.
[4]	AlaviA,SibbaldRG,MayerD,et al.Diabetic foot ulcers: part II. Management[J].J Am Acad Dermatol,2014,70(1):21.e1-21.e24; quiz 45-46.DOI: 10.1016/j.jaad.2013.07.048.
[5]	SchaperNC,van NettenJJ,ApelqvistJ,et al.Practical guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)[J].Diabetes Metab Res Rev,2020,36Suppl 1:Se3266.DOI: 10.1002/dmrr.3266.
[6]	WukichDK,RaspovicKM.Assessing health-related quality of life in patients with diabetic foot disease: why is it important and how can we improve? The 2017 Roger E. Pecoraro Award lecture[J].Diabetes Care,2018,41(3):391-397.DOI: 10.2337/dci17-0029.
[7]	DayyaD,O'NeillOJ,Huedo-MedinaTB, et al.Debridement of diabetic foot ulcers [J].Adv Wound Care (New Rochelle),2022,11(12):666-686.DOI: 10.1089/wound.2021.0016.
[8]	吴欣蕙,段瑞祥,梁桂花,等.糖尿病足的快速转诊路径[J].中华糖尿病杂志,2022,14(6):633-637.DOI: 10.3760/cma.j.cn115791-20220423-00178.
[9]	WangA,LvG,ChengX,et al.Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition)[J/OL].Burns Trauma,2020,8:tkaa017[2023-02-13].https://pubmed.ncbi.nlm.nih.gov/32685563/.DOI: 10.1093/burnst/tkaa017.
[10]	LiuY,ShiY,ZhuJ,et al.Study on the effect of the five-in-one comprehensive limb salvage technologies of treating severe diabetic foot[J].Adv Wound Care (New Rochelle),2020,9(12):676-685.DOI: 10.1089/wound.2018.0903.
[11]	魏在荣,杨成兰,黄广涛.糖尿病足外科整合治疗的进展评述[J].中国美容整形外科杂志,2020,31(7):385-389.DOI: 10.3969/j.issn.1673-7040.2020.07.001.
[12]	魏在荣,黄广涛.慢性创面的治疗进展及创面外科整合治疗模式探讨[J].中华烧伤杂志,2019,35(11):824-827.DOI: 10.3760/cma.j.issn.1009-2587.2019.11.012.
[13]	EverettE,MathioudakisN.Update on management of diabetic foot ulcers[J].Ann N Y Acad Sci,2018,1411(1):153-165.DOI: 10.1111/nyas.13569.
[14]	喻小原,赵鸣宇,张莹,等.自体富血小板纤维蛋白治疗糖尿病足溃疡的研究进展[J].中华烧伤与创面修复杂志,2022,38(12):1185-1189.DOI: 10.3760/cma.j.cn501225-20220110-00001.
[15]	海峡两岸医药卫生交流协会烧创伤暨组织修复专委会.负压伤口疗法在糖尿病足创面治疗中的应用全国专家共识(2021版)[J].中华烧伤杂志,2021,37(6):508-518.DOI: 10.3760/cma.j.cn501120-20210107-00010.
[16]	钟云雪,李莉,王达利,等.扩创联合抗生素骨水泥在严重感染糖尿病足溃疡治疗中的应用研究[J/CD].中华损伤与修复杂志:电子版,2022,17(1):60-64.DOI: 10.3877/cma.j.issn.1673-9450.2022.01.010.
[17]	American Diabetes Association.11. Microvascular complications and foot care: standards of medical care in diabetes-2021[J].Diabetes Care,2021,44(Suppl 1):S151-167.DOI: 10.2337/dc21-S011.
[18]	KothaVS,FanKL,SchwitzerJA,et al.Amputation versus free flap: long-term outcomes of microsurgical limb salvage and risk factors for amputation in the diabetic population[J].Plast Reconstr Surg,2021,147(3):742-750.DOI: 10.1097/PRS.0000000000007644.
[19]	ChangLS,JangDW,KimYH,et al.Diabetic foot resurfacing using microvascular tissue transfer from lateral thoracic region[J].Diabetes Metab Res Rev,2023,39(2):e3593.DOI: 10.1002/dmrr.3593.
[20]	ChiuCC,HuangCL,WengSF,et al.A multidisciplinary diabetic foot ulcer treatment programme significantly improved the outcome in patients with infected diabetic foot ulcers[J].J Plast Reconstr Aesthet Surg,2011,64(7):867-872.DOI: 10.1016/j.bjps.2010.11.024.
[21]	莫小金,常树森,魏在荣,等.显微削薄胸背动脉穿支皮瓣修复糖尿病足溃疡的临床应用[J].中国修复重建外科杂志,2022,36(10):1266-1272.DOI: 10.7507/1002-1892.202201037.
[22]	蒋玲丽,李海,魏在荣,等.股前外侧嵌合穿支皮瓣修复糖尿病足溃疡创面[J].中华显微外科杂志,2021,44(2):141-145.DOI: 10.3760/cma.j.cn441206-20200813-00320.
[23]	中国医师协会骨科医师分会中国骨搬移糖尿病足学组.胫骨横向骨搬移技术治疗糖尿病足的专家共识(2020)[J].中国修复重建外科杂志,2020,34(8):945-950.DOI: 10.7507/1002-1892.202003046.
[24]	MusuuzaJ,SutherlandBL,KurterS,et al.A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers[J].J Vasc Surg,2020,71(4):1433-1446.e3.DOI: 10.1016/j.jvs.2019.08.244.
[25]	BuggyA,MooreZ.The impact of the multidisciplinary team in the management of individuals with diabetic foot ulcers: a systematic review[J].J Wound Care,2017,26(6):324-339.DOI: 10.12968/jowc.2017.26.6.324.
[26]	HelouN,TalhouedecD,Zumstein-ShahaM,et al.A multidisciplinary approach for improving quality of life and self-management in diabetic kidney disease: a crossover study[J].J Clin Med,2020,9(7):2160.DOI: 10.3390/jcm9072160.
[27]	JoretMO,OsmanK,DeanA,et al.Multidisciplinary clinics reduce treatment costs and improve patient outcomes in diabetic foot disease[J].J Vasc Surg,2019,70(3):806-814.DOI: 10.1016/j.jvs.2018.11.032.
[28]	JiaoFF,FungCSC,WanEYF,et al.Five-year cost-effectiveness of the multidisciplinary risk assessment and management programme-diabetes mellitus (RAMP-DM)[J].Diabetes Care,2018,41(2):250-257.DOI: 10.2337/dc17-1149.
[29]	AyadaG,EdelY,BurgA,et al.Multidisciplinary team led by internists improves diabetic foot ulceration outcomes a before-after retrospective study[J].Eur J Intern Med,2021,94:64-68.DOI: 10.1016/j.ejim.2021.07.007.
[30]	WangC,MaiL,YangC,et al.Reducing major lower extremity amputations after the introduction of a multidisciplinary team in patient with diabetes foot ulcer[J].BMC Endocr Disord,2016,16(1):38.DOI: 10.1186/s12902-016-0111-0.
[31]	NasonGJ,StrappH,KiernanC,et al.The cost utility of a multi-disciplinary foot protection clinic (MDFPC) in an Irish hospital setting[J].Ir J Med Sci,2013,182(1):41-45.DOI: 10.1007/s11845-012-0823-8.
[32]	曹涛, 计鹏, 张智, 等 . 抗生素骨水泥治疗糖尿病足溃疡的前瞻性随机对照研究[J]. 中华烧伤与创面修复杂志, 2023, 39(4): 311-318. DOI: 10.3760/cma.j.cn501225-20221111-00485.
[33]	郭晓峰, 邓鑫鑫, 黄治虎, 等. 带蒂皮瓣联合膜诱导技术修复糖尿病患者足踝部创面的效果[J]. 中华烧伤与创面修复杂志, 2023, 39(4): 325-329. DOI: 10.3760/cma.j.cn501225-20221212-00534.
[34]	XiaoS,ZhangF,ZhengY,et al.Synergistic effect of nanofat and mouse nerve-growth factor for promotion of sensory recovery in anterolateral thigh free flaps[J].Stem Cells Transl Med,2021,10(2):181-189.DOI: 10.1002/sctm.20-0226.
[35]	邓呈亮脂肪来源干细胞基质胶促进慢性创面愈合的基础和临床研究广州南方医科大学 2018 DOI: 10.7666/d.Y3474990 邓呈亮.脂肪来源干细胞基质胶促进慢性创面愈合的基础和临床研究[D].广州:南方医科大学,2018.DOI:10.7666/d.Y3474990.
[36]	DengC,WangL,FengJ,et al.Treatment of human chronic wounds with autologous extracellular matrix/stromal vascular fraction gel: a STROBE-compliant study[J].Medicine (Baltimore),2018,97(32):e11667.DOI: 10.1097/MD.0000000000011667.
[37]	ChangS,ZhangF,ChenW,et al.Outcomes of integrated surgical wound treatment mode based on tibial transverse transport for diabetic foot wound[J].Front Surg,2023,9:1051366.DOI: 10.3389/fsurg.2022.1051366.
[38]	陈伟, 常树森, 周健, 等. 抗生素骨水泥联合游离股前外侧组织瓣序贯治疗糖尿病足溃疡的临床疗效[J]. 中华烧伤与创面修复杂志, 2023, 39(4): 319-324. DOI: 10.3760/cma.j.cn501225-20220628-00267.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(2)

Get Citation

PDF

XML

Article Metrics

Article views (3326) PDF downloads(247)

Discussion on surgical treatment mode of diabetic foot wounds

doi: 10.3760/cma.j.cn501225-20230213-00044

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Discussion on surgical treatment mode of diabetic foot wounds

doi: 10.3760/cma.j.cn501225-20230213-00044

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content