당뇨병성 족부 궤양에서 고 농도 은($Ag^+$) 도포 포말 드레싱을 이용한 전 접촉 석고 붕대 치료 결과

The Result of Total Contact Cast with High Concentrate Silver ($Ag^+$) Coated Foam Dressing in Diabetic Foot Ulcers

  • 김재영 (을지의과대학 을지병원 정형외과학교실) ;
  • 최재혁 (을지의과대학 을지병원 정형외과학교실) ;
  • 이경태 (을지의과대학 을지병원 정형외과학교실) ;
  • 양기원 (을지의과대학 을지병원 정형외과학교실) ;
  • 김진수 (을지의과대학 을지병원 정형외과학교실) ;
  • 이재준 (을지의과대학 을지병원 정형외과학교실)
  • Kim, J-Young (Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine) ;
  • Choi, Jae-Hyuck (Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine) ;
  • Lee, Kyung-Tai (Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine) ;
  • Young, Ki-Won (Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine) ;
  • Kim, Jin-Su (Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine) ;
  • Rhee, Jae-Jun (Department of Orthopedic Surgery, Eulji Hospital, Eulji University, College of Medicine)
  • 발행 : 2006.12.01

초록

Purpose: The treatment of diabetic foot ulcers with total contact cast has been reported to be associated with numerous undesirable complications. This study shows that our technique of total contact casting that incorporates high concentration silver coated foam dressing. Materials and Methods: Forty-four diabetic foot ulcers were treated with total contact cast along with high concentration silver coated foam dressing. Complication and healing rates were evaluated. Results: Eighty five percent of the ulcers healed within 6 weeks with an overall complication rate of 7%. There were only two cases (5%) of infection and no recurrent ulceration and no another site new pressure ulcer in our study. Conclusion: Total contact casting incorporates high concentration silver coated foam dressing resulted in fewer complications rate and healing rate that is comparable to other studies.

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