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TREATMENT OF DIABETIC OSTEOARTHROPATHY WITH THE ILIZAROV METHOD

https://doi.org/10.35401/2500-0268-2021-21-1-61-65

Abstract

We present the clinical observation of 55-year-old female patient with diabetic osteoarthropathy (Wagner 3; Brodsky 2; 3a) complicated with chronic osteomyelitis treated in the purulent osteology clinic. Long-term conservative treatment in the hospital at place of residence was not successful, so the patient was found requiring limb amputation. On admission to the purulent osteology clinic, the patient complained of vast purulent wound of the right foot, numbness of the fingers of both feet and disturbed support ability of the limb. The patient underwent complex restorative treatment with the Ilizarov method. Primary treatment outcomes were obvious healing of the osteomyelitis and restoration of the limb function persisting already for three years after treatment. The clinical case presented illustrates the possibility of the Ilizarov method in complex regenerative treatment of patients with diabetic osteoarthropathy, which allows to suppress the necrotic process, eliminate the existing deformation to fill the bone defect and thus restore function of the limb.

About the Authors

A. S. Sudnitsyn
Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
Russian Federation

Cand. of Sci. (Med.), Head of Research Laboratory, Purulent Osteology Clinic

ul. M. Ulyanovoi, 6, Kurgan, 660014




N. M. Kliushin
Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
Russian Federation

Dr. of Sci. (Med.), Head of Purulent Osteology Clinic

ul. M. Ulyanovoi, 6, Kurgan, 660014




P. A. Azimov
Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics
Russian Federation

PhD Student, Research Laboratory, Purulent Osteology Clinic

ul. M. Ulyanovoi, 6, Kurgan, 660014




References

1. Cavan D, Fernandes JR, Makaroff L, Ogurtsova K, Webber S. IDF Diabetes Atlas. 7th ed. 2015;142. Available at: http://diabetesatlas.org

2. Reiber GE. Epidemiology of foot ulcers and amputations in the diabetic foot. In: Bowker J, Pfeifer M, eds. Levin and O’Neal’s The Diabetic Foot. 7th ed. Mosby, 2007. Ch. 2.

3. Galhoum AE, Abd-Ella MM. Charcot ankle neuroarthropathy pathology, diagnosis and management: a review of literature. MOJ Orthop Rheumatol. 2016;6:00218. https://doi.org/10.15406/mojor.2016.06.00218

4. Tuisin SR, Shilov DV, Okroyan VP, Shkundin AV. Treatment of patients with diabetic foot syndrome. Byulleten VSNTs SO RAMN. 2012;(86-2):131–135. (In Russ.).

5. Shade VL, Andersen ChA. A literature-based guide to the conservative and surgical management of the acute Charcot foot and ankle. Diabet Foot Ankle. 2015;6:26627. PMID: 25795102. PMCID: PMC4368713. https://doi.org/10.3402/dfa.v6.26627

6. Akkurta MO, Demirkaleb I, Öznur A. Partial calcanectomy and Ilizarov external fixation may reduce amputation need in severe diabetic calcaneal ulcers. Diabet Foot Ankle. 2017;8:1264699. PMID: 28326157. PMCID: PMC5328314. https://doi.org/10.1080/2000625X.2017.1264699

7. Frykberg RG, Zgonis T, Armstrong DG, et al. Diabetic foot disorders: a clinical practice guideline (2006 revision). J Foot Ankle Surg. 2006;45:S1–66. PMID: 17280936. https://doi.org/10.1016/S1067-2516(07)60001-5

8. Güven MF, Karabiber A, Kaynak G, Öğüt T. Conservative and surgical treatment of the chronic Charcot foot and ankle. Diabet Foot Ankle. 2013;4. PMID: 23919114. PMCID: PMC3733018. https://doi.org/10.3402/dfa.v4i0.21177


Review

For citations:


Sudnitsyn A.S., Kliushin N.M., Azimov P.A. TREATMENT OF DIABETIC OSTEOARTHROPATHY WITH THE ILIZAROV METHOD. Innovative Medicine of Kuban. 2021;(1):61-65. (In Russ.) https://doi.org/10.35401/2500-0268-2021-21-1-61-65

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