کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5902264 1156846 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prediction of wound healing after minor amputations of the diabetic foot
ترجمه فارسی عنوان
پیش بینی بهبودی زخم پس از قطع عضو پایه دیابتی
کلمات کلیدی
دیابت، قطع دست و پا اندام کوچک فشار خون مچ پا، فشار خون انگشتان پا، التیام زخم، آترواسکلروز،
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی علوم غدد
چکیده انگلیسی

AimTo identify any significant differences in physiological test results between healing and non healing amputation sites.MethodsA single center prospective non-experimental study design was conducted on fifty subjects living with type 2 diabetes and requiring a forefoot or toe amputation. Subjects underwent non-invasive physiological testing preoperatively. These included assessment of pedal pulses, preoperative arterial spectral waveforms at the ankle, absolute toe pressures, toe-brachial pressure index and ankle-brachial pressure index. After 6 weeks, patients were examined to assess whether the amputation site was completely healed, was healing, had developed complications, or did not heal.ResultsThere was no significant difference in ABPI between the healed/healing and the non-healing groups. Mean TBI (p = 0.031) and toe pressure readings (p = 0.014) were significantly higher in the healed/healing group compared to the non healing group. A significant difference was also found in ankle spectral waveforms between the two groups (p = 0.028).ConclusionsTBIs, toe pressures and spectral waveforms at the ankle are better predictors of likelihood of healing and non-healing after minor amputation than ABPIs. ABPI alone is a poor indicator of the likelihood of healing of minor amputations and should not be relied on to determine need for revascularization procedures before minor amputation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Diabetes and its Complications - Volume 29, Issue 6, August 2015, Pages 834-837
نویسندگان
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