Abstract

Objective.To assess the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome (DFS) without critical ischemia with the use of programmed rehabilitation technologies (PRT).Materialand methods.The study included 82 patients. 40 patients (reference group) underwent conventional rehabilitation, while 42 patients (study group) were treated with PRT with the use of the original equipment AMP-01.Results.Use of PRT has been established to significantly improve the quality of rehabilitation, which helps to reduce the duration of inpatient treatment. The number of suppurative complications in the study group proved to be significantly less (p=0.014), and postoperative mortality was lower. The long-term outcomes of the treatment (number of late suppurative complications, ischemia progression, maintenance of foot support ability) in the study group was also found to be significantly better compared to the reference group.Conclusion.The use of PST promotes the improvement of short-term and long-term outcomes of the treatment of the patients with DFS suppurative necrotic complications.

Highlights

  • The use of PST promotes the improvement of short-term and long-term outcomes of the treatment of the patients with diabetic foot syndrome (DFS) suppurative necrotic complications

  • Characteristics of patients in the investigated groups depending on the nosological form of suppurative and necrotic complications of DFS and lesion extent in accordance with the Wagner classification (1979)

  • Анализ отдаленных результатов лечения у больных с гнойно-некротическими осложнениями (ГНО) синдром диабетической стопы (СДС) обеих групп исследования приведен в табл. 5

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Summary

OBJECTIVE

To assess the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome (DFS) without critical ischemia with the use of programmed rehabilitation technologies (PRT). The long-term outcomes of the treatment (number of late suppurative complications, ischemia progression, maintenance of foot support ability) in the study group was found to be significantly better compared to the reference group. The use of PST promotes the improvement of short-term and long-term outcomes of the treatment of the patients with DFS suppurative necrotic complications. A. Assessment of the outcomes of the treatment of patients with sup­p­urative necrotic complications of diabetic foot syndrome with the use of programmed rehabilitation technologies. Трофические изменения мягких тканей и гнойно-некротические поражения стопы при СДС приводят к высоким ампутациям более чем у 85 % больных [6].

Characteristics of patients of the study group and the comparison group
Ампутация дистального отдела стопы Трансметатарзальная ампутация стопы Всего
Критический уровень
Findings
Высокая ампутация конечности вследствие прогрессирования ишемии
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