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Journal of the Korean Wound Management Society 2005;1(1): 57-60. |
| 혈관 재건 후 완치된 족부 만성 창상의 치험예 |
| 정의석·오갑성·방사익·현원석·문구현·임소영 |
| 삼성서울병원 성균관대학교 의과대학 성형외과학교실 |
| Treatment of Diabetic Foot Wound by Vascular Reconstruction |
| Eui Seok Jung, Kap Sung Oh, Sa Ik Bang, Won Sok Hyon, Goo Hyun Mun, So Young Lim |
| Department of Plastic and Reconstructive Surgery, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea |
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Published online: 30 November 2005. |
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| ABSTRACT |
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Among people with diabetes, 15% will experience ulceration of feet in their lifetime. Approximately 20% of all diabetic patients admitted for foot problems. Moreover, about 14∼24% of people with a foot ulcer will require amputation. Therefore diabetic foot is the leading cause of nontraumatic lower extremity amputation. It means the human and financial costs of diabetic ulceration are catastrophic. Flap coverage is needed for the foot ulcer which including avascular tissue such as tendon and bone. However, local flap is not available when defect is too large and free flap is impossible when no recipient vessel is available. Moreover, peripheral sensation shows notable decrease in diabetic neuropathic patients. Therefore, they are prone to have diabetic foot wound. In that most of diabetic foot patients have poor blood supply, it is hard to heal the wound either by flap surgery or secondary intention. Therefore surgeon must evaluate vascular supply of the wound and consider revascularization when indicated. We experienced a case of 60-year-old male patient who had a chronic diabetic foot ulceration that could not be covered with flap. Moreover, graft was failed twice. After femoropopliteal bypass surgery, ulceration was improved and skin graft was taken up completely. We report this case to emphasize the importance of vascularity for wound healing. (J Korean Wound Care Soc 2005;1:57-60) |
| Key Words:
Diabetic foot, Bypass, Revascularization |
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