Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients
Purpose: Changes in weight-bearing patterns after partial foot amputations may lead to new localized high-pressure points and keratosis due to ulcerations in patients with neuropathies and hypovascular limbs. As a result, diabetic foot ulcers (DFUs) after partial foot amputations are very complex. T...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-09-01
|
| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499018799769 |
| _version_ | 1811333915980333056 |
|---|---|
| author | Erhan Sukur Abdulhalim Akar Ahmet Çagrı Uyar Ozgur Cicekli Alauddin Kochai Mehmet Turker Huseyin Nevzat Topcu |
| author_facet | Erhan Sukur Abdulhalim Akar Ahmet Çagrı Uyar Ozgur Cicekli Alauddin Kochai Mehmet Turker Huseyin Nevzat Topcu |
| author_sort | Erhan Sukur |
| collection | DOAJ |
| description | Purpose: Changes in weight-bearing patterns after partial foot amputations may lead to new localized high-pressure points and keratosis due to ulcerations in patients with neuropathies and hypovascular limbs. As a result, diabetic foot ulcers (DFUs) after partial foot amputations are very complex. The aim of this study was to compare the effectiveness of vacuum-assisted closure (VAC) therapy with conventional moist wound dressings in the treatment of diabetic wound ulcers after partial foot amputations. Methods: Sixty-five diabetic patients with a DFU, who had previously undergone partial foot amputation surgery, were assigned to treatment with VAC (group A: 31 patients) or conventional wound moist dressing (group B: 34 patients). The final results were considered as failed treatment if reamputation was required. Conversely, reaching 90% of wound granulation was considered to be a successful endpoint. Results: The average time to reach 90% granulation tissue was significantly lower in group A (7.8 ± 1.2 weeks vs. 11.1 ± 1.2 weeks; p < 0.001). However, there was no significant difference regarding the reamputation requirements; 38.7% (12 patients) in group A and 41.2% (14 patients) in group B, ( p = 0.839). Conclusion: The results of this study allowed us to conclude that VAC therapy system appears to be an effective treatment for patients with complex DFUs who had previously undergone partial foot amputation. |
| first_indexed | 2024-04-13T16:59:59Z |
| format | Article |
| id | doaj.art-d3e0318a63bc49d686ac361dff3ac4c5 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-04-13T16:59:59Z |
| publishDate | 2018-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-d3e0318a63bc49d686ac361dff3ac4c52022-12-22T02:38:42ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902018-09-012610.1177/2309499018799769Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patientsErhan SukurAbdulhalim AkarAhmet Çagrı UyarOzgur CicekliAlauddin KochaiMehmet TurkerHuseyin Nevzat TopcuPurpose: Changes in weight-bearing patterns after partial foot amputations may lead to new localized high-pressure points and keratosis due to ulcerations in patients with neuropathies and hypovascular limbs. As a result, diabetic foot ulcers (DFUs) after partial foot amputations are very complex. The aim of this study was to compare the effectiveness of vacuum-assisted closure (VAC) therapy with conventional moist wound dressings in the treatment of diabetic wound ulcers after partial foot amputations. Methods: Sixty-five diabetic patients with a DFU, who had previously undergone partial foot amputation surgery, were assigned to treatment with VAC (group A: 31 patients) or conventional wound moist dressing (group B: 34 patients). The final results were considered as failed treatment if reamputation was required. Conversely, reaching 90% of wound granulation was considered to be a successful endpoint. Results: The average time to reach 90% granulation tissue was significantly lower in group A (7.8 ± 1.2 weeks vs. 11.1 ± 1.2 weeks; p < 0.001). However, there was no significant difference regarding the reamputation requirements; 38.7% (12 patients) in group A and 41.2% (14 patients) in group B, ( p = 0.839). Conclusion: The results of this study allowed us to conclude that VAC therapy system appears to be an effective treatment for patients with complex DFUs who had previously undergone partial foot amputation.https://doi.org/10.1177/2309499018799769 |
| spellingShingle | Erhan Sukur Abdulhalim Akar Ahmet Çagrı Uyar Ozgur Cicekli Alauddin Kochai Mehmet Turker Huseyin Nevzat Topcu Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients Journal of Orthopaedic Surgery |
| title | Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients |
| title_full | Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients |
| title_fullStr | Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients |
| title_full_unstemmed | Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients |
| title_short | Vacuum-assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation: A retrospective analysis in 65 patients |
| title_sort | vacuum assisted closure versus moist dressings in the treatment of diabetic wound ulcers after partial foot amputation a retrospective analysis in 65 patients |
| url | https://doi.org/10.1177/2309499018799769 |
| work_keys_str_mv | AT erhansukur vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients AT abdulhalimakar vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients AT ahmetcagrıuyar vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients AT ozgurcicekli vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients AT alauddinkochai vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients AT mehmetturker vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients AT huseyinnevzattopcu vacuumassistedclosureversusmoistdressingsinthetreatmentofdiabeticwoundulcersafterpartialfootamputationaretrospectiveanalysisin65patients |