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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Flexor Tenotomy Improves Healing and Prevention of Diabetes-Related Toe Ulcers: A Systematic Review
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Flexor Tenotomy Improves Healing and Prevention of Diabetes-Related Toe Ulcers: A Systematic Review

机译：Experor Tenotomy改善了糖尿病相关的Toe溃疡的治疗和预防：系统审查

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摘要

Toe deformities are common in people with diabetes and are often associated with toe ulcers. Operative procedures have been used to reduce toe deformities, because these were proposed to be beneficial in the management of toe ulcers. The present systematic review investigated the effect of flexor tenotomy to address toe deformity for healing and preventing diabetes-related toe ulcers. Four electronic databases were searched in January 2016. Studies were included if they had reported the effects of flexor tenotomy for healing and/or preventing diabetes-related toe ulcers. Six studies with a total of 264 flexor tenotomies performed on toes with ulcers and 57 performed as a prophylactic procedure were included. The mean duration of preoperative ulceration was 207.9 (range 7 to 1825) days. The mean duration to postoperative ulcer healing was 29.5 days, with an overall healing rate of 97%. The rate of ulcer recurrence was 6%. All the toes that had undergone prophylactic flexor tenotomy remained free of ulceration. Overall, the rate of complications was low. Flexor tenotomy to address toe deformity is relatively safe and effective in healing and preventing diabetes-related toe ulcers. Flexor tenotomy should be considered in the management of diabetes-related toe ulcers in the presence of toe deformities. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：脚趾畸形在糖尿病患者中很常见，通常与脚趾溃疡有关。手术程序被用来减少脚趾畸形，因为这些被认为是有益于脚趾溃疡的管理。本系统综述调查了屈肌腱切开术治疗足趾畸形对愈合和预防糖尿病相关足趾溃疡的效果。2016年1月搜索了四个电子数据库。如果他们报告了屈肌腱切开术对愈合和/或预防糖尿病相关足趾溃疡的效果，则纳入研究。包括六项研究，共有264例屈肌肌腱切断术用于溃疡性脚趾，57例作为预防性手术。术前溃疡的平均持续时间为207.9（范围7至1825）天。术后溃疡愈合的平均持续时间为29.5天，总愈合率为97%。溃疡复发率为6%。所有接受过预防性屈肌腱切开术的脚趾都没有溃疡。总的来说，并发症的发生率很低。屈肌腱切开术治疗足趾畸形在愈合和预防糖尿病相关足趾溃疡方面相对安全有效。屈肌腱切开术在治疗糖尿病相关的脚趾溃疡时应考虑脚趾畸形。（C） 2017年由美国足踝外科医生学会主办。版权所有。

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