대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제7권1호
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- Pages.83-87
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- 2003
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
당뇨발 환자에서 절단 부위 결정에 영향을 주는 요인에 관한 연구
Factors affecting Amputation Level in Diabetic Foot
- 박인헌 (한림대학교 의과대학 강동성심병원 정형외과학 교실) ;
- 송경원 (한림대학교 의과대학 강동성심병원 정형외과학 교실) ;
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신성일
(한림대학교 의과대학 강동성심병원 정형외과학 교실) ;
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이진영
(한림대학교 의과대학 강동성심병원 정형외과학 교실) ;
- 이승용 (한림대학교 의과대학 강동성심병원 정형외과학 교실) ;
- 송시영 (한림대학교 의과대학 강동성심병원 정형외과학 교실) ;
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박재용
(한림대학교 의과대학 강동성심병원 정형외과학 교실)
- Park, In-Heon (Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University) ;
- Song, Kyung-Won (Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University) ;
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Shin, Sung-Il
(Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University) ;
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Lee, Jin-Young
(Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University) ;
- Lee, Seung-Yong (Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University) ;
- Song, Si-Young (Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University) ;
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Park, Jae-Yong
(Department of Orthopedic Surgery, Kang Dong Sacred Heart hospital, College of medicine, Hallym University)
- 발행 : 2003.06.01
초록
Purpose: To evaluate the factors which affect the level of the amputation for treatment of DM foot excluding arterial occlusion. Materials and Methods: We selected 30 patients (10 of major amputations, 20 of minor amputations) who were amputated from May, 1999 to April, 2001 because of DM foot. Major amputation is BK amputation, and minor amputation is amputation below ankle joint. Gender, age, size of the wound, extent of the necrosis, infectious organism, medical com orbidity, duration of DM and blood glucose level, duration of DM foot and treatment history were investigated. Results: In major amputations, male to female ratio was 9:1, average of the age was 63.8, the average of sizes of the wound was 16cm2, duration of DM was 15.0 years, duration of DM foot was 10.6 weeks, and 80% of patients had necrosis and the organisms were S. aureus, E. faecium, Streptococcus, P. vulgaris, average of the blood glucose levels was 301 and 40% of them had been treated for DM foot. In minor amputations, male to female ration was 9:1, average of the age was 56.6, the average of sizes of the wound was 4.8cm2, duration of DM was 11.2 years, duration of DM foot was 5.7 weeks, and 40% of patients had necrosis and the organisms were S. aureus, Streptococcus, M. morganini, E. faecium, average of the blood glucose levels was 257 and 20% of them had been treated for DM foot. Conclusion: In DM foot patients, extents of the necrosis, duration of DM, duration of DM foot, the infectious organism were significant factors to decide extent of the amputation level.