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Negative pressure wound therapy in patients with diabetic foot.
MedLine Citation:
PMID:  21908965     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: In this study our aim was to compare the results of standard dressing treatment to negative pressure wound therapy (NPWT) performed with a vacuum-assisted closure (VAC) device in patients with diabetic foot ulcers. METHODS: We assessed the results of 35 patients treated for diabetic foot ulcer between 2006 and 2008. Of these cases, 20 (4 women and 16 men; mean age: 66 years; range: 52-90 years) were treated with standard wet dressings and 16 feet in 15 patients (10 men, 5 women; mean age: 58.9 years; range: 42-83 years) with VAC therapy. The success of treatment was evaluated in terms of hospitalization length and rate of limb salvation. RESULTS: The average hospitalization period with VAC treatment was 32 days compared to 59 days with standard dressing treatment. All patients treated with standard dressings eventually had to undergo amputation. However, the amputation rate was 37% in the VAC treated group and 88% of patients had a functional extremity at the end of treatment. CONCLUSION VAC therapy, together with debridement and appropriate antibiotic therapy, enables a higher rate of limb salvage, especially in Wagner Grade 3 and Grade 4 ulcers. KEYWORDS: Amputation; diabetes, negative pressure wound therapy; wound.
Authors:
Ali Engin Ulusal; M Sükrü Sahin; Betül Ulusal; Gökhan Cakmak; Cengiz Tuncay
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Acta orthopaedica et traumatologica turcica     Volume:  45     ISSN:  1017-995X     ISO Abbreviation:  -     Publication Date:    2011 July-August
Date Detail:
Created Date:  2011-9-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9424806     Medline TA:  Acta Orthop Traumatol Turc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  254-260     Citation Subset:  -    
Affiliation:
Department of Orthopaedics and Traumatology, Balıkesir University Medical Faculty, Balıkesir, Turkey. aeulusal@gmail.com.
Vernacular Title:
Diyabetik ayaklı hastalarda negatif basınçlı yara tedavisi.
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