Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap

Ioannis A. Ignatiadis; Vassiliki A. Tsiampa; Dimitrios K. Arapoglou; Georgios D. Georgakopoulos; Nicolaos E. Gerostathopoulos; Vasilios D. Polyzois

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Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap

机译：糖尿病性跟骨溃疡和骨髓炎的手术治疗，部分钙管切除术和腓肠神经筋膜皮瓣

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The treatment of calcaneal osteomyelitis in diabetic patients poses a great challenge to the treating physician and surgeon. The use of a distally based sural neurofasciocutaneous flap after an aggressive debridement of non-viable and poorly vascularized tissue and bone that is combined with a thorough antibiotic regimen provides a great technique for adequate soft tissue coverage of the heel. In this case report, the authors describe the aforementioned flap as a versatile alternative to the use of local or distant muscle flaps for diabetic patients with calcaneal osteomyelitis and concomitant large wounds.

机译：对糖尿病患者的跟骨骨髓炎的治疗对主治医师和外科医生提出了巨大的挑战。在不可行，血管化程度差的组织和骨骼进行积极的清创术后，结合远端的腓肠神经筋膜皮瓣的使用，结合彻底的抗生素治疗方案，为足跟的软组织覆盖提供了很好的技术。在该病例报告中，作者将上述皮瓣描述为对患有跟骨骨髓炎并伴有大伤口的糖尿病患者使用局部或远距离肌皮瓣的一种通用选择。

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《Diabetic Foot & Ankle》 |2010年第1期|共11页
作者
Ioannis A. Ignatiadis; Vassiliki A. Tsiampa; Dimitrios K. Arapoglou; Georgios D. Georgakopoulos; Nicolaos E. Gerostathopoulos; Vasilios D. Polyzois;
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1. Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap [J] . Ioannis A. Ignatiadis, Vassiliki A. Tsiampa, Dimitrios K. Arapoglou, Diabetic Foot & Ankle . 2010,第1期

机译：糖尿病性跟骨溃疡和骨髓炎的手术治疗，部分钙管切除术和腓肠神经筋膜皮瓣
2. Near Total Calcanectomy with Rotational Flap Closure of Large Decubitus Heel Ulcerations Complicated by Calcaneal Osteomyelitis [J] . BoffeliT.J., CollierR.C. The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons . 2013,第1期

机译：旋转全皮近端全角膜切除术并伴有Cal骨骨髓炎合并大褥疮后跟溃疡
3. Subtotal calcanectomy for the treatment of large heel ulceration and calcaneal osteomyelitis in the diabetic patient. [J] . Baravarian B, Menendez MM, Weinheimer DJ, The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons . 1999,第3期

机译：次全切除术在糖尿病患者中治疗大脚跟溃疡和跟骨骨髓炎。
4. Infrared imaging in the long-term follow-up of osteomyelitis complicating diabetic foot ulceration [C] . J. R. Harding, D. Banerjee, D. F. Wertheim, IEEE Engineering in Medicine and Biology Annual Conference . 1999

机译：在骨髓炎的长期随访中的红外成像使糖尿病足溃疡复杂化
5. The Effect of a Nurse-Administered Foot Care Intervention Bundle on Self-Management of Diabetic Patients with Existing Foot Ulcerations [D] . Zima, Janice. 2019

机译：护士脚护理干预束对现有足溃疡糖尿病患者自我管理的影响
6. Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap [O] . Ioannis A. Ignatiadis, Vassiliki A. Tsiampa, Dimitrios K. Arapoglou, 2010

机译：糖尿病性跟骨溃疡和骨髓炎的局部钙化部分切除和腓肠神经筋膜皮瓣的外科治疗
7. Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap [O] . Ignatiadis, Ioannis A., Tsiampa, Vassiliki A., Arapoglou, Dimitrios K., 2010

机译：糖尿病性跟骨溃疡和骨髓炎的局部钙化部分切除和腓肠神经筋膜皮瓣的外科治疗

Surgical management of a diabetic calcaneal ulceration and osteomyelitis with a partial calcanectomy and a sural neurofasciocutaneous flap

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