RESUMO
The records of 52 patients who underwent metatarsal osteotomies for the treatment of chronic neuropathic ulcerations between the years 1983 and 1985 were analyzed in a retrospective study. Long-term follow-up information was available for all but three patients. All patients were conservatively managed preoperatively and postoperatively with shoes, accommodative orthoses, and local care. A limb salvage rate of 94%, 46 of 49 patients, was achieved in this study. Although 13 patients developed transfer ulcerations, all but one were managed either with conservative care or a lesser podiatric procedure, and all remain healed to date.
Assuntos
Neuropatias Diabéticas/complicações , Doenças do Pé/cirurgia , Metatarso/cirurgia , Osteotomia/normas , Úlcera Cutânea/cirurgia , Adulto , Idoso , Feminino , Seguimentos , Doenças do Pé/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Osteotomia/reabilitação , Estudos Retrospectivos , Úlcera Cutânea/etiologiaRESUMO
Necrotizing fasciitis can be a devastating infectious process when diagnosis and early aggressive therapy is delayed. The etiologic factors that may play a role in or affect this necrotizing infectious process are reviewed. An interesting case is presented of bilateral, lower extremity, necrotizing fasciitis in a patient with diabetes mellitus, peripheral vascular disease and profound sensory neuropathy.
