Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report

Diabetic foot ulceration (DFU) is a serious complication of diabetes mellitus, and one that is difficult to treat. In many cases of DFU, chronic osteomyelitis occurs in the foot. The present paper describes the course of treatment for chronic osteomyelitis of the great toe with metatarsophalangeal a...

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Main Authors: Jacek Białecki, Przemysław Pyda, Michalina Hupało-Tatarkiewicz
Format: Article
Language:English
Published: Medigent Foundation 2018-09-01
Series:Negative Pressure Wound Therapy Journal
Online Access:https://www.npwtj.com/index.php/npwtj/article/view/42
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author Jacek Białecki
Przemysław Pyda
Michalina Hupało-Tatarkiewicz
author_facet Jacek Białecki
Przemysław Pyda
Michalina Hupało-Tatarkiewicz
author_sort Jacek Białecki
collection DOAJ
description Diabetic foot ulceration (DFU) is a serious complication of diabetes mellitus, and one that is difficult to treat. In many cases of DFU, chronic osteomyelitis occurs in the foot. The present paper describes the course of treatment for chronic osteomyelitis of the great toe with metatarsophalangeal arthritis using selective resection of the bone preserving the soft tissues (the “empty toe technique”). Following the procedure, to promote surgical wound healing, negative pressure wound therapy was administered for 7 days, with a constant pressure of –120 mmHg. The presented method was found to be effective in treating osteomyelitis in a patient with DFU, partially preserving the function and completely preserving the shape of the treated toe.
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spelling doaj.art-738342fad4ff4c20b8cc3b6bc92b54502022-12-22T01:26:28ZengMedigent FoundationNegative Pressure Wound Therapy Journal2392-02972018-09-01535510.18487/npwtj.v5i3.4242Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case reportJacek Białecki0Przemysław Pyda1Michalina Hupało-Tatarkiewicz2Department of General, Minimally Invasive and Trauma Surgery, Franciszek Raszeja City Hospital in PoznańDepartment of General, Minimally Invasive and Trauma Surgery, Franciszek Raszeja City Hospital in Poznań, ul. Mickiewicza 2, 60-834 Poznań, PolandDepartment of General, Minimally Invasive and Trauma Surgery, Franciszek Raszeja City Hospital in Poznań, ul. Mickiewicza 2, 60-834 Poznań, PolandDiabetic foot ulceration (DFU) is a serious complication of diabetes mellitus, and one that is difficult to treat. In many cases of DFU, chronic osteomyelitis occurs in the foot. The present paper describes the course of treatment for chronic osteomyelitis of the great toe with metatarsophalangeal arthritis using selective resection of the bone preserving the soft tissues (the “empty toe technique”). Following the procedure, to promote surgical wound healing, negative pressure wound therapy was administered for 7 days, with a constant pressure of –120 mmHg. The presented method was found to be effective in treating osteomyelitis in a patient with DFU, partially preserving the function and completely preserving the shape of the treated toe.https://www.npwtj.com/index.php/npwtj/article/view/42
spellingShingle Jacek Białecki
Przemysław Pyda
Michalina Hupało-Tatarkiewicz
Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report
Negative Pressure Wound Therapy Journal
title Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report
title_full Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report
title_fullStr Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report
title_full_unstemmed Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report
title_short Selective resection of the bone with preservation of soft tissues (“empty toe technique”) combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe - a case report
title_sort selective resection of the bone with preservation of soft tissues empty toe technique combined with negative pressure wound therapy for treatment of osteomyelitis of the great toe a case report
url https://www.npwtj.com/index.php/npwtj/article/view/42
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AT przemysławpyda selectiveresectionofthebonewithpreservationofsofttissuesemptytoetechniquecombinedwithnegativepressurewoundtherapyfortreatmentofosteomyelitisofthegreattoeacasereport
AT michalinahupałotatarkiewicz selectiveresectionofthebonewithpreservationofsofttissuesemptytoetechniquecombinedwithnegativepressurewoundtherapyfortreatmentofosteomyelitisofthegreattoeacasereport