Stepwise surgical approach to diabetic partial foot amputations with autogenous split thickness skin grafting

Ramanujam, Crystal L.; Zgonis, Thomas

doi:10.3402/dfa.v7.27751

Cited by 7 publications

(2 citation statements)

References 18 publications

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“…The use of STSG has been echoed by other authors treating diabetic and ankle wounds. 33,34 Rose et al 35 reported a 69.1% rate of complete graft adherence in 94 patients undergoing non-ischemic chronic wound coverage, even on the plantar surface of the foot. In a 2-year retrospective study of a limited number of gTMAs receiving STSG, Holloway et al, 8 achieved 86% of complete wound healing in a median of 75 days.…”

Section: Discussionmentioning

confidence: 99%

Guillotine Transmetatarsal Amputations With Staged Closure Promote Early Ambulation and Limb Salvage in Patients With Advanced Chronic Limb-Threatening Ischemia

et al. 2022

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Purpose: Transmetatarsal amputation (TMA) with primary closure has long been an option for limb salvage in patients with advanced chronic limb-threatening ischemia (CLTI) with extensive tissue loss of the forefoot. However, TMA healing and closure techniques are challenging, specifically in high-risk patients. Guillotine transmetatarsal amputations (gTMA) with staged closure may provide an alternative treatment in this population. We report long-term outcomes of such technique. Materials and Methods: A single-center retrospective cohort study of CLTI patients undergoing gTMA between 2017 and 2020 was performed. Limb salvage, wound healing, and survival rates were quantified using Kaplan-Meier (KM) analysis. Multivariate regression was used to identify the effect of patient characteristics on the outcomes. Results: Forty-four gTMA procedures were reviewed. Median follow-up was 381 (interquartile range [IQR], 212–539.75) days. After gTMA, 87.8% (n=36) of the patients were able to ambulate after a median interval of 2 (IQR, 1–3) days. Eventual coverage was achieved in a personalized and staged approach by using a combination of skin substitutes (88.6%, n=39) ± split thickness skin grafts (STSG, 61.4%, n=27). KM estimates for limb salvage, wound healing, and survival were 84.1%, 54.5%, and 88.6% at 1 year and 81.8%, 63.8%, and 84.1% at 2 years. Wound healing was significantly associated with STSG application (p=0.002, OR=16.5, 95% CI 2.87–94.81). Conclusion: gTMA resulted in high limb salvage rates during long-term follow-up in CLTI patients. Adjunctive STSG placement may enhance wound healing at the gTMA site, thus leading to expedited wound closure. Surgeons may consider gTMA as an alternative to reduce limb loss in CLTI patients at high risk of major amputation. Clinical Impact Currently, the clinical presentation of CLTI is becoming more complex to deal with due to the increasing comorbidities as the society becomes older. The data shown in this article means for clinicians that when facing diffused forefoot gangrene and extensive tissue loss, limb preservation could still be considered instead of major amputation. Guillotine transmetatarsal amputations in the setting of an aggressive multidisciplinary group, can be healed by the responsibly utilization of dermal substitutes and skin grafts leading to the preservation of the extremity, allowing mobility, avoiding of sarcopenia, and decreasing frailty. This will equate to maintenance of independent living and preservation of lifespan.

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Section: Discussionmentioning

confidence: 99%

Guillotine Transmetatarsal Amputations With Staged Closure Promote Early Ambulation and Limb Salvage in Patients With Advanced Chronic Limb-Threatening Ischemia

et al. 2022

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“…Pada infeksi midfoot dan atau osteomielitis, intervensi bedah bertahap mungkin diperlukan untuk mencegah infeksi diikuti dengan rekonstruksi definitif. 16…”

Section: Artrodesis Kaki Tengahunclassified

Penanganan Rehabilitasi Medik pada Pasca Artrodesis Kaki Charcot Tanpa Komplikasi

Damopolii,

Gessal,

Perwira

2023

eCl

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Impact of diabetes on the occurrence of Charcot's foot provides conservative treatment to the benefits of arthrodesis. Charcot foot is a debilitating joint disease characterized by progressive multiple bone destruction, dislocations, and severe deformities of the foot and ankle. Its prevalence may increase in the general high-risk population. Initial treatment of Charcot foot is often conservative and involves the use of bracing, casting, and special orthopedic shoes. This intervention allows the patient to functionally ambulate without resorting to more invasive interventions. Arthrodesis is an effective limb-saving method for patients with Charcot neuroarthropathy who have severe deformity and instability. This technique is usually used for chronic cases with irreversible deformity and/or joint instability to increase plantar pressure and balance of the foot and to minimize the risk of foot ulceration and amputation. In conclusion, non-weight bearing treatment dan immobilisation are the most effective rehabilitation management for active-phase Charcot foot accompanied by surgery consideration to maximize the functional of the foot. Keywords: Charcot foot; diabetes; arthrodesis; rehabilitation management Abstrak: Diabetes berdampak terhadap terjadinya kaki Charcot dengan penanganan secara konservatif hingga tindakan artrodesis. Kaki Charcot merupakan salah satu penyakit sendi yang merusak dan ditandai dengan progresifitas kerusakan tulang multipel, dislokasi dan deformitas parah pada kaki dan pergelangan kaki dengan prevalensi yang meningkat pada populasi dengan risiko tinggi. Perawatan awal kaki Charcot seringkali konservatif dan melibatkan penggunaan bracing, casting, dan sepatu ortopedi khusus. Intervensi ini memungkinkan pasien untuk ambulasi secara fungsional tanpa menggunakan intervensi yang lebih invasif. Artrodesis merupakan metode penyelamatan anggota tubuh yang efektif untuk pasien dengan neuropati Charcot yang memiliki deformitas parah dan ketidakstabilan. Teknik ini biasanya digunakan untuk kasus kronis dengan deformitas ireversibel dan/atau ketidakstabilan sendi untuk meningkatkan tekanan dan keseimbangan plantar kaki dan untuk meminimalkan risiko ulserasi dan amputasi kaki. Simpulan studi ini ialah penanganan non-weight bearing dan imobilisasi merupakan penanganan rehabilitasi untuk kaki Charcot fase aktif dengan pertimbangan tindakan pembedahan untuk memaksimalkan fungsi kaki. Kata kunci: kaki Charcot; diabetes; arthrodesis; penanganan rehabilitasi

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The Diabetic Foot

Ramanujam

Stapleton

Zgonis

2022

Endocrinology and Diabetes

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Stepwise surgical approach to diabetic partial foot amputations with autogenous split thickness skin grafting

Cited by 7 publications

References 18 publications

Guillotine Transmetatarsal Amputations With Staged Closure Promote Early Ambulation and Limb Salvage in Patients With Advanced Chronic Limb-Threatening Ischemia

Guillotine Transmetatarsal Amputations With Staged Closure Promote Early Ambulation and Limb Salvage in Patients With Advanced Chronic Limb-Threatening Ischemia

Penanganan Rehabilitasi Medik pada Pasca Artrodesis Kaki Charcot Tanpa Komplikasi

The Diabetic Foot

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