Abstract

Maggot Debridement Therapy (MDT) is an effective debridement method, however results in ischemic patients are worse; in some clinics this even means ischemic ulcers are not treated with MDT. However the only alternative sometimes seems to be amputation. In the present study it was shown that vascular patients had statistically significant more often a bad outcome after MDT compared to non-vascular patients (Odds ratio (OR): 12.2; 95% Confidence Interval: 3.3-45.2; P-value<0.001) However still 52% of vascular patients had a good outcome, with a 68% good outcome in the succesfully revascularized patients and 41% in the non-revascularized patients (p=0.12) We believe MDT results in patients with ischemic ulcers are worse compared to patients without ischemia, but these worse results do not justify to withold MDT in these subgroup of patients.

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