کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2716385 1565572 2008 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
New and Recurrent Ulcerations after Percutaneous Achilles Tendon Lengthening in Transmetatarsal Amputation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
New and Recurrent Ulcerations after Percutaneous Achilles Tendon Lengthening in Transmetatarsal Amputation
چکیده انگلیسی

The purpose of the study was to review the incidence rate of new and recurrent ulcerations in transmetatarsal amputations after original ulcers healed with percutaneous Achilles' tendon lengthening as an isolated procedure. We reviewed 35 charts from period of January 1995 to March 2007, and 28 were included for the final review. Twenty-four ulcers were grade 1A, 2 were 0A and 1B, and 1 was 1C using the University of Texas Grading System. Time to heal of ulceration post-TAL was 9.4 weeks (range 3-72 weeks). For statistical analysis, we used binomial distribution for dichotomous variables. Results demonstrated 4 limbs did not heal, 10 patients had an ulcer recurrence (p<0.001), and 6 developed new ulcers. Of the 28 patients in which TAL was performed, 16 developed new neuropathic ulcers (including recurrent ulcers; p=0.0099). High recurrence and new ulcers formation exist after TAL in patients with an unbalanced metatarsal amputation, and extrinsic/ intrinsic factors may need to be addressed to prevent recurrence. Level of Clinical Evidence: 4

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Foot and Ankle Surgery - Volume 47, Issue 3, May–June 2008, Pages 225–229
نویسندگان
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