Journal of Tissue Viability
Volume 21, Issue 2 , Pages 64-70 , May 2012

Limb salvage for spreading midfoot osteomyelitis following diabetic foot surgery

  • Javier Aragón-Sánchez

      Affiliations

    • Diabetic Foot Unit, La Paloma Hospital, Las Palmas de Gran Canaria, Spain
    • Corresponding Author InformationCorresponding author. C/Eduardo 1,4°D, 35002 Las Palmas de Gran Canaria, Canary Islands, Spain. Tel.: +34 928383161, +34 609569937(mobile); fax: +34 928242840.
    • ,
  • José L. Lázaro-Martínez

      Affiliations

    • Diabetic Foot Unit, Complutense University Clinic, Madrid, Spain
    • ,
  • Almudena Cecilia-Matilla

      Affiliations

    • Diabetic Foot Unit, Complutense University Clinic, Madrid, Spain
    • ,
  • Yurena Quintana-Marrero

      Affiliations

    • Diabetic Foot Unit, La Paloma Hospital, Las Palmas de Gran Canaria, Spain
    • ,
  • María J. Hernández-Herrero

      Affiliations

    • Diabetic Foot Unit, La Paloma Hospital, Las Palmas de Gran Canaria, Spain

References 

  1. Eneroth M, Larsson J, Apelqvist J. Deep foot infections in patients with diabetes and foot ulcer: an entity with different characteristics, treatments, and prognosis. J Diabetes Complications. Sep–Dec 1999;13(5–6):254–263
  2. Aragon-Sanchez FJ, Cabrera-Galvan JJ, Quintana-Marrero Y, Hernandez-Herrero MJ, Lazaro-Martinez JL, Garcia-Morales E, et al. Outcomes of surgical treatment of diabetic foot osteomyelitis: a series of 185 patients with histopathological confirmation of bone involvement. Diabetologia. Nov 2008;51(11):1962–1970
  3. Henke PK, Blackburn SA, Wainess RW, Cowan J, Terando A, Proctor M, et al. Osteomyelitis of the foot and toe in adults is a surgical disease: conservative management worsens lower extremity salvage. Ann Surg. Jun 2005;241(6):885–892discussion 892–884
  4. Armstrong DG, Lavery LA, Frykberg RG, Wu SC, Boulton AJ. Validation of a diabetic foot surgery classification. Int Wound J. Sep 2006;3(3):240–246
  5. Nehler MR, Whitehill TA, Bowers SP , Jones DN, Hiatt WR, Rutherford RB, et al. Intermediate-term outcome of primary digit amputations in patients with diabetes mellitus who have forefoot sepsis requiring hospitalization and presumed adequate circulatory status. J Vasc Surg. Sep 1999;30(3):509–517
  6. Game F. Management of osteomyelitis of the foot in diabetes mellitus. Nat Rev Endocrinol. Jan 2010;6(1):43–47
  7. Karchmer AW, Gibbons GW. Foot infections in diabetes: evaluation and management. Curr Clin Top Infect Dis. 1994;14:1–22
  8. Aragon-Sanchez J. Treatment of diabetic foot osteomyelitis: a surgical critique. Int J Low Extrem Wounds. Mar 2010;9(1):37–59
  9. Aragón-Sánchez JL-MJL, Quintana-Marrero Y, Hernández-Herrero MJ, García-Morales E, Cabrera-Galván JJ, Beneit-Montesinos JV, et al. Are diabetic foot ulcers complicated by MRSA osteomyelitis associated with worse prognosis? Outcomes of a surgical series. Diabetic Med. 2009;26(5):552–555
  10. Ramanujam CL, Zgonis T. Salvage of Charcot foot neuropathy superimposed with osteomyelitis: a case report. J Wound Care. Nov 2010;19(11):485–487
  11. Bus SA, Valk GD, van Deursen RW, Armstrong DG, Caravaggi C, Hlavacek P, et al. The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review. Diabetes Metab Res Rev. May–Jun 2008;24(Suppl. 1):S162–S180
  12. Dalla Paola L, Brocco E, Ceccacci T, Ninkovic S, Sorgentone S, Marinescu MG, et al. Limb salvage in Charcot foot and ankle osteomyelitis: combined use single stage/double stage of arthrodesis and external fixation. Foot Ankle Int. Nov 2009;30(11):1065–1070
  13. Jeffcoate WJ. Charcot neuro-osteoarthropathy. Diabetes Metab Res Rev. May–Jun 2008;24(Suppl. 1):S62–S65
  14. Aragon-Sanchez J, Lazaro-Martinez JL, Hernandez-Herrero MJ. Triggering mechanisms of neuroarthropathy following conservative surgery for osteomyelitis. Diabet Med. Jul 2010;27(7):844–847
  15. Ndip A, Jude EB, Whitehouse R, Prescott M, Boulton AJ. Charcot neuroarthropathy triggered by osteomyelitis and/or surgery. Diabet Med. Dec 2008;25(12):1469–1472

PII: S0965-206X(11)00075-1

doi: 10.1016/j.jtv.2011.12.002

Journal of Tissue Viability
Volume 21, Issue 2 , Pages 64-70 , May 2012

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