지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한창상학회 Journal of Wound Management and Research Journal of Wound Management and Research Vol.16 No.1
- 발행연도
- 2020.1
- 수록면
- 37 - 42 (6page)
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초록· 키워드
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Treatment of diabetic foot infections requires attention to both local and systemic issues, as diabetes mellitus is accompanied by a high incidence of complications that delay wound healing and restrict treatment options. We present a patient with diabetes who had infectious arthritis of the ankle joint with a soft tissue defect involving the joint capsule. The comorbidities of the patient limited the options for treatment in reconstruction of the ankle joint defect. Therefore, nonabsorbable sutures bridging the periosteum of the fibula and calcaneus bones were applied to mimic the calcaneofibular ligament and secure the joint capsule. In addition, negative pressure wound therapy (NPWT) was administered to protect the joint space, absorb extra fluid, and promote wound healing. Acellular dermal matrix was used in combination with NPWT to enhance wound healing and tissue regeneration. Although methicillin-resistant Staphylococcus aureus was cultured from the wound several times, there were no signs that this treatment aggravated the infection. After 7 months of inpatient treatment, stable soft tissue coverage and ankle joint stabilization were achieved, allowing fair standing balance, gait and plantar flexion.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Tijdens-Creusen EJA / 2018 / Orthopedic aspects of the diabetic foot / Curr Pharm Des 24:1255~1269
Carpenter B / 2019 / Tibio-talar-calcaneal fusion in the diabetic and nondiabetic patient : an update on surgical techniques / Foot Ankle Spec 12:172~174
Lee M / 2018 / Uncontrolled diabetes as a potential risk factor in tibiotalocalcaneal fusion using a retrograde intramedullary nail / Foot Ankle Surg 24:542~548
Gross JB / 2014 / Influencing factors of functional result and bone union in tibiotalocalcaneal arthrodesis with intramedullary locking nail : a retrospective series of 30 cases / Eur J Orthop Surg Traumatol 24:627~633
Yasui Y / 2016 / Operative treatment of lateral ankle instability / JBJS Rev 4
Carpenter B / 2019 / Tibio-talar-calcaneal fusion in the diabetic and nondiabetic patient : an update on surgical techniques / Foot Ankle Spec 12:172~174
Lee M / 2018 / Uncontrolled diabetes as a potential risk factor in tibiotalocalcaneal fusion using a retrograde intramedullary nail / Foot Ankle Surg 24:542~548
Gross JB / 2014 / Influencing factors of functional result and bone union in tibiotalocalcaneal arthrodesis with intramedullary locking nail : a retrospective series of 30 cases / Eur J Orthop Surg Traumatol 24:627~633
Yasui Y / 2016 / Operative treatment of lateral ankle instability / JBJS Rev 4
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