Javier Aragón‐Sánchez1, José Luís Lázaro‐Martínez2, Cristina Hernández-Herrero3, Nalini Campillo-Vilorio4, Yurena Quintana-Marrero5, Esther García‐Morales2, Maria J. Hernández-Herrero5
1Diabetic Foot Unit, Hospital La Paloma, C/Maestro Valle 20, Las Palmas de Gran Canaria, Canary Islands, Spain. [email protected] 2Complutense University, Madrid, Spain
3University Macarena Hospital, Sevilla, Spain
4Plaza de la Salud General Hospital, Dominican Republic
5La Paloma Hospital, Las Palmas de Gran Canaria, Spain
Tóm tắt
Outcomes of surgically treated limb- and life-threatening infections in patients with diabetes and a well-vascularized foot based only on the palpation of foot pulses are not well known. The authors retrospectively studied a series of 173 patients with diabetes and limb- (moderate) or life- (severe) threatening infections with at least one palpable pedal pulse who were admitted to their department for the treatment of infected diabetic foot from January 1, 1998, to December 31, 2009. A total of 141 patients (81.5%) presented with limb-threatening/moderate infections and 32 (18.5%) with life-threatening/severe infections. In all, 49 patients (28.3%) presented with soft tissue infections only, 90 (52%) with osteomyelitis and 34 (19.7%) with a combined infection. Amputation was needed in 74 patients (42.7%), of whom 6 needed a major amputation (3.5% of overall). A total of 99 (57.2%) patients were treated by conservative surgery. Four patients (2.3%) died during the postoperative period (30 days). Limb salvage was achieved in 167 (96.5%) of the patients who were followed up until healing. Healing of the wounds by secondary intention was achieved in a median of 72 days. Clinical results permit the observation that a high rate of limb salvage can be achieved after the surgical treatment of limb- and life-threatening infections in patients with at least one palpable pedal pulse.
