AI Article Synopsis
- - The study aimed to evaluate the effectiveness of various flap techniques for repairing diabetic foot defects (DFD) and specifically assessed the anterolateral thigh perforator flap (ALTP) in treating both DFD and non-DFD wounds.
- - Researchers analyzed data from 40 DFD patients and 43 non-DFD patients from 2010 to 2021, noting that DFD patients had more severe complications, longer healing times, and poorer recovery outcomes compared to non-DFD patients.
- - The findings suggest that while different flap techniques can effectively repair DFD wounds, the use of free ALTP flaps carries higher postoperative risks, which can be mitigated with thorough preoperative vascular assessments. *
Article Abstract
Background: The repair of diabetic foot defects (DFD) is a major challenge in clinical practice. The purpose of this study was to investigate the difference in clinical efficacy of different flap techniques in repairing DFD wounds, and to compare the difference in clinical efficacy of anterolateral thigh perforator flap (ALTP) in repairing DFD and non-DFD.
Methods: This study is a retrospective clinical study of different types of flap reconstruction in patients with DFD admitted to our hospital from January 2010 to December 2021. A total of 40 patients with DFD and 43 patients with non-DFD were included in this study. Detailed preoperative basic information, intraoperative details, postoperative complications and long-term follow-up results were collected.
Result: The comorbidities, wound infection and wound duration of DFD group were more serious than those of non-DFD group. In addition, the incidence of complications was higher in DFD group, the wound healing time was longer, the aesthetic evaluation, the functional recovery rate of ankle joint and the sensory recovery effect of flaps were worse.
Conclusion: In this study, it is concluded that different flap techniques can obtain better clinical efficacy in repairing DFD wounds. Compared with non-DFD wounds, the postoperative risk of DFD wounds using free ALTP flaps is higher, but the risk can be reduced by reasonable preoperative vascular examination. Free flap can deal with various irregular wounds and provide more options for clinical repair.
Level Of Evidence: III, Case-control study.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462749 | PMC |
| http://dx.doi.org/10.1186/s13018-024-05122-y | DOI Listing |
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