Clinical observation of the treatment of diabetic foot with transverse tibial bone transport
- Author:
Xiaoming ZHAO
1
Author Information
- Publication Type:Journal Article
- Keywords: Diabetic foot; Interventional therapy; Lower limb vascular reconstruction; Transverse tibial bone transport
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2020;41(2):244-250
- CountryChina
- Language:Chinese
- Abstract: Objective: To compare the clinical effects of transverse tibial bone transport, interventional therapy and conventional therapy on diabetic foot. Methods: We selected 45 diabetic foot patients admitted to the research center from June 2016 to October 2018. We adopted the random number method and divided them into the interventional treatment group, transverse tibial bone transport group and conventional treatment group, with 15 patients in each. Patients in each group received routine clinical treatment, interventional treatment or lateral tibial transposition. Doppler ultrasound was used to measure and monitor the blood flow velocity of dorsal artery before and after treatment. Each group was recorded for the highest systolic blood pressure of the malleolus artery and the highest systolic blood pressure of the brachial artery to measure the malleolus brachial index (ABI), the skin temperature and pain VAS scores of the affected limbs and feet before and after surgery. The healing of ulcerated foot surface was observed before and after operation to evaluate the clinical therapeutic effects of these methods. Results: All the 45 patients were followed up for an average of 6.7 months (4-10 months). Compared with those in conventional treatment group, the postoperative ABI and the blood flow velocity of the dorsal artery in interventional treatment group and transverse tibial bone transport group were significantly better(P<0.05). Postoperative skin temperature changes and pain VAS scores were also significantly better than those in conventional treatment group (P<0.05). Compared with the interventional treatment, the postoperative skin temperature and brachial-ankle index ABI in transverse tibial bone transport group were slightly better (P<0.05). And the two had similar efficacy in postoperative pain VAS score and dorsal foot artery blood flow velocity improvement (P>0.05). Conclusion: Compared with conventional basic treatment, transverse tibial bone transport and interventional treatment can significantly improve the blood flow parameters of diabetic foot patients, relieve the pain of the patients and promote the healing of ulcer surface. Transverse tibial bone transport is more effective, and its postoperative skin temperature and postoperative brachial-ankle index are better than those of interventional treatment.
