ID 109581
著者
橋本, 一郎 Department of Plastic and Reconstructive Surgery, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
安倍, 吉郎 Department of Plastic and Reconstructive Surgery, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
森本, 篤志 Department of Plastic and Reconstructive Surgery, the University of Tokushima Graduate School
柏木, 圭介 Department of Plastic and Reconstructive Surgery, the University of Tokushima Graduate School
ゴイシ, ケイイチ Department of Plastic and Reconstructive Surgery, the University of Tokushima Graduate School
中西, 秀樹 Department of Plastic and Reconstructive Surgery, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
diabetic foot
foot ulcer
diabetic neuropathies
microsurgery
free tissue flaps
資料タイプ
学術雑誌論文
抄録
Background : Neuropathic diabetic foot ulcers are generally deep and infectious wounds extending to the bone or joint. We performed microsurgical free flap transfer for limb salvage and vascular augmentation of feet with diabetic neuropathy. Methods : Angiography was performed to identify any significant arterial disease. The free flaps were transplanted after resection of the damaged skin and infected bone. Flow-through or end-to-side anastomosis to the dorsalis pedis artery was performed to preserve the arterial blood flow to the residual foot. Results : An anterolateral thigh flap and free flaps based on the subscapular artery system were transplanted in 1 and 10 patients, respectively. All flaps survived. Arterial flow on the distal side of the anastomosis was postoperatively confirmed in all patients. During a mean follow-up period of 52 months, the long-term complications observed were recurrent ulcers in 4 patients. The limb salvage rate was 100%, and 82% of patients achieved functional ambulation. Conclusions : Microsurgical flap transplantation is a safe and useful technique for minimal amputation of a diabetic neuropathic foot. Postoperative protection of the feet is important in order to avoid recurrence of foot ulceration. The use of protective footwear custom-tailored for each patient is strongly recommended.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
61
3-4
開始ページ
325
終了ページ
332
並び順
325
発行日
2014-08
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院