[Surgical treatment of the diabetic septic foot].
An opening and a major stage of the diabetic septic foot surgical treatment is the primary surgical processing that is usually combined with amputation of separate fingers or with various types of transmetatarsal amputations. Out of the total of 379 operated patients 35.7% underwent amputation of separate fingers, combined with resection of the metatarsal bone head. 18.3% of the patients underwent transmetatarsal amputations by Sharp with plantar lambo shaping, and 14.9% had oblique resections with dermatological plastic surgeries. As a result of this treatment the foot amputations were reduced to 5.7%. The extended use of conservative treatment combined with primary surgical processing is a major precondition for restricting the suppurative gangrenous process. Staged surgical treatment ensures a drastic decrease in the number of foot amputations. The reconstruction plastic foot operations enable the shaping of an adequate foot area with good biomechanics.
Petkov
R
R
Gavrailov
M
M
Gavrailov
N
N
Mladenovski
V
V
Todorov
G
G
Kŭtev
N
N
Goranov
N
N
Mal'ov
N
N
D000671:Amputation, Surgical / Q000706:statistics & numerical data; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002031:Bulgaria; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery*; D005734:Gangrene / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D008682:Metatarsal Bones / Q000601:surgery; D012189:Retrospective Studies; D018805:Sepsis / Q000601:surgery*
D000900:Anti-Bacterial Agents