Abstract
Early and aggressive treatment of diabetic foot wounds is imperative for the reduction of amputation risk. Whereas sound local wound care is important for successful management; chronic wounds often reach a stagnant point in healing because of diabetic vasculopathy, immunopathy, or neuropathy. The type, size, shape, and location of wound may not always allow primary closure or grafting. In patients with adequate perfusion and in the absence of infection, local advancement flaps are suitable for durable closure. A review and case report demonstrating the use of these flaps with external fixation as an adjunctive therapy for surgical off-loading is presented.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 211-216 |
| Number of pages | 6 |
| Journal | Clinics in Podiatric Medicine and Surgery |
| Volume | 28 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2011 |
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Keywords
- Diabetic foot
- External fixation
- Local flaps
- Soft tissue coverage
- Surgical off-loading
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
External Fixation for Surgical Off-Loading of Diabetic Soft Tissue Reconstruction. / Ramanujam, Crystal; Facaros, Zacharia; Zgonis, Thomas.
In: Clinics in Podiatric Medicine and Surgery, Vol. 28, No. 1, 01.2011, p. 211-216.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - External Fixation for Surgical Off-Loading of Diabetic Soft Tissue Reconstruction
AU - Ramanujam, Crystal
AU - Facaros, Zacharia
AU - Zgonis, Thomas
PY - 2011/1
Y1 - 2011/1
N2 - Early and aggressive treatment of diabetic foot wounds is imperative for the reduction of amputation risk. Whereas sound local wound care is important for successful management; chronic wounds often reach a stagnant point in healing because of diabetic vasculopathy, immunopathy, or neuropathy. The type, size, shape, and location of wound may not always allow primary closure or grafting. In patients with adequate perfusion and in the absence of infection, local advancement flaps are suitable for durable closure. A review and case report demonstrating the use of these flaps with external fixation as an adjunctive therapy for surgical off-loading is presented.
AB - Early and aggressive treatment of diabetic foot wounds is imperative for the reduction of amputation risk. Whereas sound local wound care is important for successful management; chronic wounds often reach a stagnant point in healing because of diabetic vasculopathy, immunopathy, or neuropathy. The type, size, shape, and location of wound may not always allow primary closure or grafting. In patients with adequate perfusion and in the absence of infection, local advancement flaps are suitable for durable closure. A review and case report demonstrating the use of these flaps with external fixation as an adjunctive therapy for surgical off-loading is presented.
KW - Diabetic foot
KW - External fixation
KW - Local flaps
KW - Soft tissue coverage
KW - Surgical off-loading
UR - http://www.scopus.com/inward/record.url?scp=79251520634&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79251520634&partnerID=8YFLogxK
U2 - 10.1016/j.cpm.2010.10.004
DO - 10.1016/j.cpm.2010.10.004
M3 - Article
C2 - 21276528
AN - SCOPUS:79251520634
VL - 28
SP - 211
EP - 216
JO - Clinics in Podiatric Medicine and Surgery
JF - Clinics in Podiatric Medicine and Surgery
SN - 0891-8422
IS - 1
ER -