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Abstract

Clinical Efficacy of Antibiotic Bone Cement and Lateral Bone Repositioning for Severe Diabetic Foot and its Impact on Wound Healing Rate

Author(s): W. Shang, Peichao Liu, X. Cheng, X. Wang* and Y. Yu
Department of Orthopedics, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei Province 442000, P. R. China

Correspondence Address:
X. Wang, Department of Orthopedics, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei Province 442000, P. R. China, E-mail: taodao753547@163.com


To evaluate the clinical efficacy of antibiotic bone cement plus lateral bone repositioning for severe diabetic foot and its impact on wound healing rate. Sixty patients with hemodialysis anemia admitted to the endocrinology department of our hospital from July 2020 to July 2021 were included and randomly assigned to receive antibiotic bone cement plus lateral bone repositioning (observation group) or vacuum sealing drainage (control group). Outcome measures included skin temperature of the affected limb, ankle-brachial index, sensory threshold, foot wound healing, dorsalis pedis artery hemodynamics, lower limb function and clinical efficacy. Antibiotic bone cement plus lateral bone repositioning resulted in significantly higher treatment efficiency and transcutaneous partial pressure of oxygen, smaller wound and lower trauma pH vs. vacuum sealing drainage, suggesting that antibiotic bone cement plus lateral bone repositioning contributes to potentiating the treatment efficacy and reducing the foot ulcer trauma, thereby facilitating rapid recovery. Patients given antibiotic bone cement plus lateral bone repositioning had larger vascular internal diameter and blood flow and better sensory conduction velocity of the common peroneal nerve and the motor conduction velocity of the tibial nerve vs. those given vacuum sealing drainage, indicating its vascular and neurological benefits. Antibiotic bone cement plus lateral bone repositioning enhances the treatment efficiency, boosts trauma healing and promotes postoperative functional recovery of patients.

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