Improving outcomes in recurrent and other new foot ulcers after healed plantar forefoot diabetic ulcer

Nickerson, D. Scott

doi:10.1111/wrr.12611

Cited by 2 publications

(1 citation statement)

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“…It is possible to heal diabetic ulcers by conservative measures only in 63-81% of cases, amputation of various levels of the limb is required in 14-24% of patients, while mortality rates reach 13%. These figures emphasise the need to find innovative approaches to the problem of treating purulonecrotic complications of DM (Nickerson, 2018;Ivanov et al, 2019). Most specialists consider the conservative approach to their treatment to be the main and determining one, but the duration of such therapy is many months.…”

Section: Introductionmentioning

confidence: 99%

Clinical-functional and morphological parameters of purulonecrotic foci healing in diabetic foot syndrome using programmable sanitation technologies

Сергеев

Глухов

Sorokin

et al. 2021

ijhs

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Diabetes mellitus is currently characterised by a high progressive prevalence of patients. The purpose of this study is to evaluate the clinical, functional, and morphological parameters of purulonecrotic foci healing in diabetic foot syndrome (DFS) using programmable sanitation technologies. The patients were randomised into two groups. In the comparison group (n=51), patients received conventional local treatment after surgery. In the main group (n=55), after surgical treatment, the wound was sutured, and in the postsurgical period, programmable sanitation was conducted using the AMP-01 device. The cytological smears of the main group identified a higher rate of cellular reactions in the wound. There was a 1.3-fold reduction in the duration of hospitalisation, the number of purulent complications was significantly less (p=0.014). It was possible to preserve the supporting function of the foot in patients of the main group in a larger percentage of cases (p=0.023). There was a statistically significant increase in the frequency of high amputations in the comparison group (p=0.026). As a result, the effectiveness of the use of programmable sanitation technologies for purulent lesions of the diabetic foot has been proven.

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Section: Introductionmentioning

confidence: 99%