Archives of Reconstructive Microsurgery
- Volume 8 Issue 2
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- Pages.108-114
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- 1999
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Reconstruction of Diabetic Foot by Microsurgery
미세 수술을 이용한 당뇨병성 족부병변의 재건
- Lee, Kwang-Suk (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
- Ha, Kyung-Hwan (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
- Lim, Dang-Jae (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
- Kim, Tae-Ha (Department of Orthopaedic Surgery, College of Medicine, Korea University)
- 이광석 (고려대학교 의과대학 정형외과학교실) ;
- 하경환 (고려대학교 의과대학 정형외과학교실) ;
- 임당재 (고려대학교 의과대학 정형외과학교실) ;
- 김태하 (고려대학교 의과대학 정형외과학교실)
- Published : 1999.10.30
Abstract
In general, amputation has been performed in the treatment of diabetic foot which doesn't respond to the conservative treatment. We have evaluated the existence of post-operative infection, the morbidity of donor site, the degree of recovery of sensation, weight bearing ambulation and recurrence in the 6 cases(5 patients) of diabetic foot patients among the 230 cases of free flap transfer done in our department. In all cases of free flap transfer to diabetic foot, 100% of survival rate was shown. The sensory recovery was more than average of 40% of the area of the transferred flap, and two points discrimination was shown average of 5cm as a result. In all cases, no evidence of post-operative infection was discovered and the weight bearing gradually became easier, and at the average of 5 months after operation, the full weight bearing ambulation became possible. If the infection of diabetic foot and the level of blood sugar could be controlled successfully, the free flap transfer could be considered one of the treatment option to avoid amputation.