EARLY PARTIAL AMPUTATION, FLAP COVERAGE AND TIMELY THERAPY ARE THE CORNERSTONES OF GOOD OUTCOME IN CHRONIC DIABETIC HAND INFECTION: TWO SIMILAR CASES WITH DIFFERENT OUTCOME
https://doi.org/10.22452/jummec.vol25no2.9
- Author:
Ahmed Suparno Bahar Moni
1
;
Mohammad Rezwanul Akter Pallab
2
;
Rayhan Ali Mollah
3
Author Information
1. Department of Orthopaedics, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Penang, Malaysia
2. Department of Surgery, Popular Medical College Hospital, Dhaka
3. Department of Orthopaedics, Dhaka Medical College Hospital, Dhaka, Bangladesh
- Publication Type:Journal Article
- Keywords:
Diabetic hand infection;
Partial amputation;
groin flap;
Hand therapy
- From:Journal of University of Malaya Medical Centre
2022;25(2):48-50
- CountryMalaysia
- Language:English
-
Abstract:
Diabetic patients are more susceptible to chronic hand infection. Due to mixed bacterial infection, poor wound healing capacity, associated neuropathy and angiopathy, they suffer mostly from deep hand infection, which necessitates multiple surgeries and reconstruction of the defect. Early partial amputation of the digit followed by coverage of the soft tissue defect by flap and timely physiotherapy can provide satisfactory functional outcome in chronic severe hand infection cases. We report and compare two similar cases of chronic severe diabetic hand infection where differences in timing of partial amputation, coverage of the defect by groin flap and adequate postoperative rehabilitation made a gross difference in the final functional outcome.
- Full text:202508151059433888198867.pdf
