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Burleva E.P.

Kafedra obshcheĭ khirurgii GOU VPO "Ural'skaia gosudarstvennaia meditsinskaia akademiia", Ekaterinburg

Babushkina Yu.V.

Sverdlovsk regional clinical hospital, Ekaterinburg, Russia

Galimzyanov F.V.

Ural State Medical University, Ekaterinburg, Russia;
Sverdlovsk regional clinical hospital, Ekaterinburg, Russia

Fominykh A.N.

Sverdlovsk regional clinical hospital, Ekaterinburg, Russia

Differentiated treatment of patients with diabetic foot syndrome at the stage of specialized surgical care

Authors:

Burleva E.P., Babushkina Yu.V., Galimzyanov F.V., Fominykh A.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(5): 42‑51

DOI: 10.17116/hirurgia201905142

Read: 1342 times

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Table of contents

DIFFERENTIATED TREATMENT OF PATIENTS WITH DIABETIC FOOT SYNDROME AT THE STAGE OF SPECIALIZED SURGICAL CARE
DIFFERENTIATED TREATMENT OF PATIENTS WITH DIABETIC FOOT SYNDROME AT THE STAGE OF SPECIALIZED SURGICAL CARE

To cite this article:

Burleva EP, Babushkina YuV, Galimzyanov FV, Fominykh AN. Differentiated treatment of patients with diabetic foot syndrome at the stage of specialized surgical care. Pirogov Russian Journal of Surgery. 2019;(5):42‑51. (In Russ.)
https://doi.org/10.17116/hirurgia201905142

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Features of comprehensive treatment in a patient with complicated type 2 diabetes mellitus: A clinical case. Piro­gov Russian Journal of Surgery. 2025;(6):128-132
Abstract:

Aim — to assess 1-year results of differentiated treatment of patients with diabetic foot syndrome (DFS) who were included into 3-year register of diabetic foot outpatient practice (DFOP). Material and methods. It was performed retrospective analysis of 570 patients with DFS (2015—2017): group I — neuropathic form (n=285), group II — neuroischemic form (n=285). Patients were classified according to Texas grade. Group I — 107 (37.5%) patients (BI—III); 91 (31.9%) patients (AII+BII—III). Diabetic osteoarthropathy was diagnosed in 97 (34.0%) cases. Group II included 113 (45.2%) patients with DI—III and 171 (60.0%) patients with CII—II+DII—III. 308 patients received combined outpatient treatment (including limb off-loading in 88%), 195 patients — in-hospital surgical treatment (including endovascular procedures — 52), 67 patients — treatment at the place of residence. Postoperative follow-up was in diabetic foot outpatient practice. Statistical analysis of data was performed by using of Biostat software package. Results. In group I 1-year results are unknown in 76 (26.7%) patients. Epitheliazation was noted in 101 (35.4%) cases, persistent diabetic ulcer — in 27 (12.9%), small amputations — 16 (7.7%), high amputations — 2 (0.95%). In group II results are unknown in 29 (10.2%) patients. Epitheliazation occurred in 121 (47.3%) cases, persistent diabetic ulcer — 53 (20.7%), small amputations — 47 (18.4%), high amputations — in 35 (13.7%) cases. Conclusion. DFOP is a key organizational unit of specialized medical care for patients with DFS. Regular follow-up of patients in DFOP and combined treatment at the stage of specialized surgical care allows to preserve limb in 99% of patients with neuropathic foot and in 86.3% of patients with neuroischemic foot.

Keywords:

diabetic foot syndrome
diabetic foot outpatient practice
specialized surgical treatment
1-year results

Authors:

Burleva E.P.

Kafedra obshcheĭ khirurgii GOU VPO "Ural'skaia gosudarstvennaia meditsinskaia akademiia", Ekaterinburg

Babushkina Yu.V.

Sverdlovsk regional clinical hospital, Ekaterinburg, Russia

Galimzyanov F.V.

Ural State Medical University, Ekaterinburg, Russia;
Sverdlovsk regional clinical hospital, Ekaterinburg, Russia

Fominykh A.N.

Sverdlovsk regional clinical hospital, Ekaterinburg, Russia

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