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Titre : | Minimally Invasive Surgery: Osteotomies for Diabetic Foot Disease (2020) |
Auteurs : | Carlo Biz ; Pietro Ruggieri |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 25, n° 3, Septembre 2020) |
Article en page(s) : | p. 441-460 |
Note générale : | https://doi.org/10.1016/j.fcl.2020.05.006 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Interventions chirurgicales mini-invasives ; Métatarsalgie ; Osteotomie ; Pied diabetique ; Ulcère du pied |
Résumé : | The diabetic foot could seem hopeless because the prognosis of diabetic patients over the years often becomes inexorably worse. It is known that more than half of all nontrauma amputations are done in diabetic patients because of a higher risk of developing peripheral vascular disease, deep infections, abscesses, osteomyelitis, or gangrene (Fig. 1) in an extremity.1 In up to 84% cases,2,3 the causative factor of these sequelae are diabetic foot ulcers (DFUs), the most common complication of diabetes type 1.1 However, amputations may not be the most effective solution because they could be complicated by infections, which tend to be polymicrobial in diabetics (Fig. 2). Patients with pressure ulcers have a 2.5-fold increased risk of death compared with diabetic patients without DFUs. Further, DFU development is associated with 5% mortality during the first year and 42% mortality within 5 years. (...) |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751520300577 |