Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Skin Graft Remains a Clinically Good Treatment Strategy for Chronic Diabetic Wounds of the Foot and Ankle

피부이식술을 통한 만성 당뇨족 창상 치료의 효용성

  • Kim, Yoon-Chung (Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Bo-Seoung (Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Howon (Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ahn, Jae Hoon (Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 김윤정 (가톨릭대학교 의과대학 성빈센트병원 정형외과학교실) ;
  • 김보성 (가톨릭대학교 의과대학 성빈센트병원 정형외과학교실) ;
  • 정호원 (가톨릭대학교 의과대학 성빈센트병원 정형외과학교실) ;
  • 안재훈 (가톨릭대학교 의과대학 서울성모병원 정형외과학교실)
  • Received : 2022.03.17
  • Accepted : 2022.04.18
  • Published : 2022.06.15
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Abstract

Purpose: The purpose of this study was to evaluate the surgical outcome of split-thickness skin graft (STSG) for chronic diabetic wounds of the foot and ankle. Materials and Methods: The medical records of 20 patients who underwent surgery for chronic diabetic wounds of the foot and ankle between October 2013 and May 2018 were reviewed. Surgical management consisted of consecutive debridement, followed by negative-pressure wound therapy and STSG. We used an acellular dermal matrix between the wound and the overlying STSG in some patients with wide or uneven wounds. Patient satisfaction, comorbidities, wound size and location, length of hospital stay, wound healing time, and complications were investigated. Results: Of 20 patients, 17 (85.0%) were satisfied with the surgical outcome. Eight patients had diabetic wounds associated with peripheral vascular disease (PVD), 7 patients had diabetic wounds without PVD, and 5 patients had acute infection superimposed with necrotizing abscesses. The mean size of the wound was 49.6 cm2. The mean length of hospital stay was 33.3 days. The mean time to wound healing was 7.9 weeks. The mean follow-up period was 25.9 months. Complications included delayed wound healing (4 cases) and recurrence of the diabetic wounds (2 cases), which were resolved by meticulous wound dressing. Conclusion: STSG remains a good treatment strategy for chronic diabetic wounds of the foot and ankle.

Keywords

References

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