Surgical correction of foot deformities as a method for prevention and treatment of diabetic foot syndrome

Parshikov M.V.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Delegatskaya St., 20, p. 1, Moscow, 127473, Russia

Bardyugov P.S.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Delegatskaya St., 20, p. 1, Moscow, 127473, Russia;
Vidnoe regional clinical hospital, Zavodskaya str., 15, Vidnoe, 142700, Russia;
Endocrinology Research Centre, 11, Dm. Ulyanova street, Moscow, 117036, Russia

Galstian G.R.

FGBU "Éndokrinologicheskiĭ nauchnyĭ tsentr", Moskva

SPIN RSCI: 9815-7509
Scopus AuthorID: 7003667594

Yarygin N.V.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Delegatskaya St., 20, p. 1, Moscow, 127473, Russia

Golovchak V.M.

Vidnoe regional clinical hospital, Zavodskaya str., 15, Vidnoe, 142700, Russia

Bakunov M.Yu.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

Surgical correction of foot deformities as a method for prevention and treatment of diabetic foot syndrome

Authors:

Parshikov M.V., Bardyugov P.S., Galstian G.R., Yarygin N.V., Golovchak V.M., Bakunov M.Yu.

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Journal: N.N. Priorov Journal of Traumatology and Orthopedics. 2018;(3-4): 47‑57

DOI: 10.17116/vto201803-04147

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To cite this article:

Parshikov MV, Bardyugov PS, Galstian GR, Yarygin NV, Golovchak VM, Bakunov MYu. Surgical correction of foot deformities as a method for prevention and treatment of diabetic foot syndrome. N.N. Priorov Journal of Traumatology and Orthopedics. 2018;(3-4):47‑57. (In Russ.)
https://doi.org/10.17116/vto201803-04147

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Purpose: to study the potentialities of orthopaedic surgery in foot deformities as a method for prevention and treatment of diabetic foot syndrome (DFS). Patients and methods. During the period from 2014 to 2017 thirty seven patients (13 men and 24 women aged 47 — 75 years) with DFS were operated on for feet deformity. According to Texas University classification 4 patients had grade 0, 7 — grade 3 and 26 patients — grade 4a pathology. Primary deformities were observed in 13 cases, secondary deformities resulting from DFS — in 24 cases. Forty seven different surgical interventions were performed. All interventions were grouped according to D.G. Armstrong classification for DFS surgical treatment. The surgical task was the correction of biomechanics, unloading of foot segments that were subjected to high mechanical effect caused by the deformity. Results. The follow up period was from 2 moths to 3 years. Primary healing of the ulcers was observed after 32 surgical interventions. In 2 cases revision (more radical) surgical intervention was performed. No deformity relapse was noted. Postoperative wound suppuration was recorded in 1 case. Ulcer relapse was observed in 1 case. Conclusion. The study results allow suggesting a significant role and wide-ranging potentialities of surgical orthopaedics for the effective and functional treatment of patients with DFS.

Keywords:

diabetic foot syndrome

transcutaneous oximetry

foot deformity

Authors:

Parshikov M.V.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Delegatskaya St., 20, p. 1, Moscow, 127473, Russia

Bardyugov P.S.

Galstian G.R.

FGBU "Éndokrinologicheskiĭ nauchnyĭ tsentr", Moskva

SPIN RSCI: 9815-7509
Scopus AuthorID: 7003667594

Yarygin N.V.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Delegatskaya St., 20, p. 1, Moscow, 127473, Russia

Golovchak V.M.

Vidnoe regional clinical hospital, Zavodskaya str., 15, Vidnoe, 142700, Russia

Bakunov M.Yu.

M.F. Vladimirsky Moscow Regional Scientific Research Clinical Institute, Moscow, Russia

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