Abstract:Objective To discuss the effect of Ilizarov transverse tibial bone transporting in the treatment of diabetic foot with Wagner 3~4.Methods 24 patients with Wagner 3~4 diabetic foot were collected between June 2015 to February 2018.The patients were all treated with The Ilizarov transverse tibial bone transporting.They were 17 men and 7 women,aged from 41 to 76 years (average,58.4 years),including 9 cases on the right and 15 cases on the left side.5 cases were Wagner 3~4.The wound healing was observed after operation.We measured skin temperature of affected limbs and the ankle-brachial index,got the visual analogue pain scores and examined the maximum systolic blood flow velocity of the posterior tibial artery with color Doppler ultrasound before and after operation.Results The cases were followed up for 16.5months (range:9 to 32 months ).All the affected feet were salvaged and healed.The temperature of affected foot skin after operation was (34.21±1.32)℃,compared with preoperative (31.34±2.02)℃,the difference was statistically significant (P<0.01).The postoperative VAS score (0.46±1.13) was compared with the preoperative (4.41±3.02)points,and the difference was statistically significant (P<0.01).The postoperative ankle index was (0.91±0.18),which was statistically significant compared with that preoperative (0.53±0.23) (P<0.01).The maximum systolic blood flow velocity of posterior tibial artery examined by color Doppler ultrasonography after operation was (37.12±4.21)cm/s,which was statistically significant compared with preoperative (28.84±3.27)cm/s(P<0.01).Conclusion The Ilizarov transverse tibial bone transporting is a effective method to treat diabetic foot with Wagner 3~4.The operation is simple and the effect of improving circulation and limb salvage is good.
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