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目的观察跖趾关节融合术在糖尿病足创面修复中的应用疗效。方法笔者自2014-01—2016-06采用跖趾关节融合术修复16例糖尿病足创面,14例行第1跖趾关节融合术,2例行第5跖趾关节融合术,同时或延后行全厚皮片植皮手术,术后随访观察创面、骨愈合及局部溃疡复发情况。结果 16例均获得随访6~24个月,平均14个月。所有患者术后创面获一期愈合;除1例在术后18个月因患肢动脉再次闭塞导致溃疡复发行小腿截肢术外,其余15例无复发情况。结论跖趾关节融合术是一种简单、安全的手术方法,在糖尿病足创面修复中疗效确切,能降低糖尿病足的截肢率,值得临床推广应用。
Objective To observe the effect of metatarsophalangeal arthrodesis in the repair of diabetic foot wounds. Methods From 2014-01-2016-06, the author used metatarsophalangeal arthrodesis to repair 16 cases of diabetic foot wounds, 14 cases met the first metatarsophalangeal arthrodesis and 2 cases metatarsophalangeal arthrodesis. At the same time or delayed Full-thickness skin grafting surgery, postoperative follow-up observation wounds, bone healing and local ulcer recurrence. Results 16 cases were followed up for 6 to 24 months with an average of 14 months. All patients had a healing of wounds after surgery. Except for one case of recurrent leg ulcers due to occlusion of the affected limbs at 18 months after operation, the other 15 cases had no recurrence. Conclusion Metatarsophalangeal arthrodesis is a simple and safe surgical method. It is effective in repairing diabetic foot wounds and can reduce the amputation rate of diabetic foot, which is worthy of clinical application.