Abstract
Diabetic foot is one of the most difficult complications of diabetes and the main cause of non-traumatic amputation, accounting for 85% of all non-traumatic amputations. [1-2], We report a case of diabetic foot ulcer treated with transverse tibial transport combined with bone cement implantation. The ulcer healed and the effect was good. Case presentation: A 65-year-old man has been diagnosed with Type 2 diabetes for more than 20 years, combined with Type 2 diabetic neurological complications and type 2 diabetic eye complications. Two years ago, his right thumb was removed due to foot ulcers. 20 days ago, The second toe of the right foot was removed due to an ulcer. When he entered our hospital for treatment, the back of the right foot and the sole of the foot had large ruptures. After thorough debridement and transverse tibial transport combined with bone cement placement, the wound healed well. Conclusion: In the treatment of diabetic foot ulcers, it is very important to restore the blood supply of the affected limb. Tibial transverse transport promotes the reconstruction of anastomotic branches below the knee joint, and the induced membrane technology can improve local blood supply. The combination of the two can provide an economical and effective way for the treatment of diabetic foot, which is worthy of our continued exploration.
Highlights
Diabetic foot is the most expensive and one of the most difficult complications of diabetes
Preliminary animal experiments believe that stretch-stress mechanical stimulation can promote capillary regeneration and tissue regeneration, and stretch tissue regeneration technology can stimulate the formation of "vascular network". [7,8,9] Clinical retrospective studies have shown that this technique is used to treat Wagner grade 3 diabetic foot, and its wound healing rate and limb salvage rate are both over 95%, and the 1-year recurrence rate is less than
After the tibia is transported, it can be found that the concentration of stromal cell-derived factor 1 (SDF-1) in the peripheral blood of the body increases, which activates the corresponding pathway and repairs the wound. [15, 16] the tibial transverse transport can promote the recovery of blood supply to the end of the limbs by continuously giving stable tension to the tissues and provide a suitable environment for wound repair
Summary
Diabetic foot is the most expensive and one of the most difficult complications of diabetes. The tibial transverse transport based on the gravity-stress law is a new method developed in recent years to treat diabetic foot. [7,8,9] Clinical retrospective studies have shown that this technique is used to treat Wagner grade 3 diabetic foot, and its wound healing rate and limb salvage rate are both over 95%, and the 1-year recurrence rate is less than. Compared with traditional treatment methods, the ulcer cure rate, amputation rate, vascular recanalization rate, blood flow and other indicators have been significantly improved after the treatment of diabetic foot by tibial transverse transport. [7,8,9] the tibial transverse transport has shown a broad prospect in the treatment of diabetic foot. In the treatment of diabetic foot, bone cement loaded with antibiotics can continue to exert antibacterial effects. Huankai Chen et al.: Treatment of Diabetic Foot Ulcer with Tibial Transverse Transport Combined with
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