Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Chiu, Wen-Kuan | en_US |
dc.contributor.author | Yang, Ten-Fang | en_US |
dc.contributor.author | Wang, Hsian-Jenn | en_US |
dc.contributor.author | Chen, Chiehfeng | en_US |
dc.date.accessioned | 2020-10-05T02:02:02Z | - |
dc.date.available | 2020-10-05T02:02:02Z | - |
dc.date.issued | 2020-01-01 | en_US |
dc.identifier.issn | 0148-7043 | en_US |
dc.identifier.uri | http://dx.doi.org/10.1097/SAP.0000000000002174 | en_US |
dc.identifier.uri | http://hdl.handle.net/11536/155450 | - |
dc.description.abstract | Background Clinical management of chronic plantar ulcers is a difficult issue in medical practice. Pressure overloading is a problem that needs to be resolved. Herein, we report a surgical method to reduce plantar pressure: a dorsal approach to a metatarsal ostectomy. Methods From March 2011 to October 2016, 16 patients suffering from chronic plantar ulcers underwent ostectomy procedures at Taipei Wan-Fang Municipal Hospital (Taipei Medical University). A bone segment about 0.5 to 1 cm long was removed via a dorsal foot approach. The plantar wound was treated with debridement only or was simultaneously covered with a skin graft. In total, 16 patients with an average age of 57.81 (SD, 11.6) years (12 males and 4 females) were included; 15 patients (93.75%) had a diagnosis of type 2 diabetes for a mean of 20.66 years (range, 5-30 years). The mean glycated hemoglobin was 9.14 g/dL (range, 5.2-13.2 g/dL). The mean plantar wound size was 5.72 cm(2). Four patients (25%) needed to receive a skin graft with a mean skin graft size of 8.13 cm(2). Results The mean follow-up time was 15.2 months. The plantar wounds completely healed in 14 patients (87.5%) in an average of 2.14 months. No plantar ulcer was complicated with recurrence, but transfer ulcers developed in 2 patients (12.5%) at an average of 7.5 months postoperatively. Conclusions Metatarsal ostectomy surgery via a dorsal foot approach is an efficient way to reduce pressure overloading of chronic plantar wounds. Our study provides an alternative method to treat this difficult problem with a high wound healing rate and less recurrence. | en_US |
dc.language.iso | en_US | en_US |
dc.subject | metatarsal bone | en_US |
dc.subject | ostectomy | en_US |
dc.subject | plantar wound | en_US |
dc.title | Assessment of Outcomes of a Metatarsal Bone Ostectomy for Chronic Plantar Ulcers A Preliminary Study | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1097/SAP.0000000000002174 | en_US |
dc.identifier.journal | ANNALS OF PLASTIC SURGERY | en_US |
dc.citation.volume | 84 | en_US |
dc.citation.spage | 0 | en_US |
dc.citation.epage | 0 | en_US |
dc.contributor.department | 生物科技學系 | zh_TW |
dc.contributor.department | Department of Biological Science and Technology | en_US |
dc.identifier.wosnumber | WOS:000562466800020 | en_US |
dc.citation.woscount | 0 | en_US |
Appears in Collections: | Articles |