Apa itu Ulser Kaki Diabetik?
Disebabkan oleh kesan campuran iskemia vaskular, hujung saraf dan jangkitan, patients with diabetic foot often have to amputate because of a small wound that does not heal for a long time. The transverse tibial bone transport technology developed on the basis of Ilizarov tension stress rule can stimulate the microvascular circulation of the lower extremity of the affected limb, and can achieve the effect of wound healing and limb saving for some specific diabetic foot patients (note that if the affected limb is blocked below the popliteal artery and the collateral circulation of the lower limb is blocked, it is not appropriate to use this method for limb saving treatment). Here we look at a case of the treatment of diabetic foot using transverse tibial bone transport technique.
Kes Operasi
A transverse incision was made on the anterior side of the middle and upper tibia, the skin and subcutaneous tissue were cut to the bone surface, and the bone plate was placed under the periosteum, and a traction needle was placed on each of the two bone plates for lateral movement. Two 4mm traction needles were inserted into the proximal and distal tibia in parallel to fix the external fixation bracket. Finally, two removable lateral tractors were installed on the external fixation bracket.
Tibia lateral bone transfer microangiogenesis is derived from the “tension-stress rule” and the theory of natural reconstruction and regeneration. The principle is to provide continuous and stable slow stretching force to living tissues, stimulate or activate the regeneration and active growth of local bone, soft tissue and blood vessels, improve tissue microcirculation, restore blood supply and oxygen supply to limbs, and promote the healing of diabetic foot wounds. Lateral movement began after surgery, 1mm daily, divided into 4 times.
Advantages:
1. Minimally invasive
2. Easy to operate
3. Reduce amputation
4. The condition improves quickly
5. Reduce suffering and improve quality of life
Indications:
Treatment of ischemic vascular disease of the lower limbs 1.Diabetic ischemic lesions of the lower limbs (diabetic foot) 2.Arteriosclerosis obliterans (ASO) 3.Thromboangiitis obliterans (TAO)
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kaki & ankle implant
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