內容目錄
The incidence of diabetic foot accounts for 14% of diabetic patients, about 5% to 10% of patients requiring amputation, and more than 50% of all non-traumatic amputation patients. Diabetic foot and chronic ischemic diseases of lower extremities are frequently-occurring and intractable diseases in clinic. Recently, the Department of Hand and Foot Surgery of Gaomi City People’s Hospital, after painstaking research, used a new treatment path to transfer the lateral tibial bone to solve the problem of foot necrosis and avoid amputation.
Six months ago, after Mr. Xu’s toe was injured, the wound never healed, but it got bigger and bigger. Recently, the wound became foul. In Gaomi City People’s Hospital, Mr. Xu was diagnosed with diabetic foot. It is reported that the treatment of diabetic foot is more difficult, and it is easy to cause foot infection, ulcer, gangrene, and finally high-level amputation. Wang Gang, the chief physician of the hand and foot surgery department of the hospital, said that due to the localized gangrene of the patient’s feet, amputation may be considered. After being diagnosed with diabetic foot, Mr. Xu didn’t want to eat or drink. He always sighed and watched his feet turn black little by little every day. He was in pain in his body and in his heart. . Considering the patient’s young age and poor vascular condition, and wanting to save his feet, attending physician Wang Gang and the hand and foot surgery team of Gaomi City People’s Hospital organized a multidisciplinary joint consultation on diabetic foot MDT to formulate a more accurate and appropriate treatment plan for him. After consultation with experts, it was decided to perform transverse tibial bone transfer for Mr. Xu. The so-called “transverse tibial bone transfer” is to create a small and controllable bone trauma on the leg bone of the affected limb (a square bone block with a length of about 1.5 × 5 cm on the open side of the tibia), and the bone block is “moved”. , using stent distraction, continuous distraction at a speed of 1mm per day for two weeks, and then reversed to restore the bone block to its original position at a speed of 1mm per day. This therapy can restore blood supply to the foot ulcer, so that the infection can be controlled and repaired, thereby solving the fundamental problem of diabetic foot ischemia and saving the patient from the risk of amputation. After the operation, after recovery and observation, Mr. Xu told the doctor who returned by telephone that his extremities had improved for many years, new flesh grew in the necrotic areas, and the wounds had basically healed. Chief physician Wang Gang reminded that if diabetic patients have intermittent claudication, joint deformation, darkening of the skin of the feet, etc., they need to be paid enough attention, and it is recommended to seek medical help in a general hospital; patients with severe gangrene and ulcer wounds can be evaluated Whether the lateral tibial bone transfer technique can be applied to improve the rate of diabetic foot healing and limb salvage.
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