Ilizarov bone transport for repair of diabetic foot：a functional and imaging evaluation

VernacularTitle:外固定架骨搬移系统修复糖尿病足：功能与影像学评价
Author: Cheng XIAN ; Jinmin ZHAO ; Wei SU ; Shan LAO ; Xin YANG ; Qikai HUA
Publication Type:Journal Article
From: Chinese Journal of Tissue Engineering Research 2015;(46):7539-7544
CountryChina
Language:Chinese
Abstract: BACKGROUND:Previous therapies for diabetic foot are not ideal with large cost, and moreover, amputation is often required. OBJECTIVE: To perform the Ilizarov bone transport in the treatment of patients with diabetic foot (Wanger grades 3-4), and to observe the limb salvage conditions. METHODS: Eighteen patients with diabetic foot, Wanger grades 3-4, admitted in the Department of Bone and Joint Surgery, First Affiliated Hospital of Guangxi Medical University from December 2013 to June 2015 were enroled in this trial. Al of patients were subjected to Ilizarov bone transport. RESULTS AND CONCLUSION: Al the 18 patients were folowed up for 3 to 20 months, and presented with ulcer healing. Scores on ankle-brachial index and 10-g nylon line test were both increased significantly in the patients after treatment, but the visual analog scale scores were reduced. These findings indicate that the Ilizarov bone transport is an effective method for treating ulcer of diabetic foot at Wanger grades 3-4.