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首页> 外文期刊>The international journal of lower extremity wounds >Analysis of Ulcer Recurrences After Metatarsal Head Resection in Patients Who Underwent Surgery to Treat Diabetic Foot Osteomyelitis
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Analysis of Ulcer Recurrences After Metatarsal Head Resection in Patients Who Underwent Surgery to Treat Diabetic Foot Osteomyelitis

机译：糖尿病足骨脊髓炎手术Meta骨切除术后溃疡复发的分析

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摘要

Metatarsal head resection is a common and standardized treatment used as part of the surgical routine for metatarsal head osteomyelitis. The aim of this study was to define the influence of the amount of the metatarsal resection on the development of reulceration or ulcer recurrence in patients who suffered from plantar foot ulcer and underwent metatarsal surgery. We conducted a prospective study in 35 patients who underwent metatarsal head resection surgery to treat diabetic foot osteomyelitis with no prior history of foot surgeries, and these patients were included in a prospective follow-up over the course of at least 6 months in order to record reulceration or ulcer recurrences. Anteroposterior plain X-rays were taken before and after surgery. We also measured the portion of the metatarsal head that was removed and classified the patients according the resection rate of metatarsal (RRM) in first and second quartiles. We found statistical differences between the median RRM in patients who had an ulcer recurrence and patients without recurrences (21.48 +/- 3.10% vs 28.12 +/- 10.8%; P = .016). Seventeen (56.7%) patients were classified in the first quartile of RRM, which had an association with ulcer recurrence (P = .032; odds ratio = 1.41; 95% confidence interval = 1.04-1.92). RRM of less than 25% is associated with the development of a recurrence after surgery in the midterm follow-up, and therefore, planning before surgery is undertaken should be considered to avoid postsurgical complications.
机译：head骨头切除术是a骨头骨髓炎手术常规和标准化的治疗方法。这项研究的目的是确定of骨切除术的数量对患有足底溃疡并接受meta骨手术的患者再形成或溃疡复发的影响。我们对35例行meta骨头部切除术治疗糖尿病足骨髓炎的患者进行了前瞻性研究，这些患者没有足部手术史，并且这些患者在至少6个月的过程中进行了前瞻性随访，以记录再溃疡或溃疡复发。手术前后均进行前后X线平片检查。我们还测量了head骨头切除的部分，并根据第一和第二四分位数的meta骨切除率（RRM）对患者进行了分类。我们发现溃疡复发患者和无复发患者的中位RRM之间存在统计学差异（21.48 +/- 3.10％与28.12 +/- 10.8％; P = .016）。十七名（56.7％）患者被分类为RRM的第一四分位数，与溃疡复发相关（P = .032;优势比= 1.41; 95％置信区间= 1.04-1.92）。 RRM小于25％与中期随访中手术后复发的发生有关，因此，应考虑在手术前进行规划以避免手术后并发症。

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