Here - EWMA 2013

E-POSTER: DIABETIC FOOT
E-Poster: Diabetic Foot
EP 458
Skin grafting of wound defects at patients with a syndrome of
diabetic foot
Alexander Prividentsev 1 , Sergey Goryunov 1 , Sergey Zhidkikh 1 , Yuriy Shestakov 1
1 City Clinical Hospital #15 n.a. O.M. Filatov» of Moscow City Board of Health,
Department Contaminate (Moscow, Russia).
Aim: The purpose is to improve the results of treatment of the wound at patients at a
diabetic foot.
Methods: It is analysed 185 patients who have transferred skin plasticity. The extremity
revaskulyarization had been made at 60,4% of patients. Men – 41,1%, women – 58,9%.
Мedium square of wounds – 36,6+10,7 cm². Skin grafting is made by local fabrics of 68
patients (36,7%). For closing plantarny ulcers applied skin grafting* 3,8% the patient,
skin grafting** – 3,3% the patient, across skin grafting*** 5,9% the patient. At 5,4%
patients used a rag of a «scrap» finger. Autodermoplastika is executed 18,9% by the
patient, the combined plasticity – 25,4%. The Italian skin plasticity is applied 0,5% to the
patient.
Results: At an assessment of the next results healing of wounds by primary tension at
140 (75,7%) patients. The full engraftment of a free skin rag is noted at 80,2% patients.
At 92,3% patients are noted complete or partial recovery of basic function of foot.
In the remote period at 4,9% patients there was an ulcer in the field. High amputation of
an extremity was required 2,1% to patients. The lethality made 3,3%.
Conclusion: Skin plasticity allows to restore basic function of an extremity, to reduce
number of the remote complications, to reduce number of amputations, duration of the
general treatment, to lower costs of treatment.
* Zimani-Osborn
** Diffenbakh
***Limberg
EP 459
EXPERIENCE WITH A NEW WOUND DRESSING TECHNOLOGY* IN THE
MANAGEMENT OF DIABETIC FOOT ULCERS FOLLOWING AMPUTATION
E-Poster: Diabetic Foot
Patricia Wilken 1 , Julien Penard 2
1 Urgo GmbH (Sulzbach, Germany);
2 Henri Duffaut Hospital (Avignon, France).
Aim: Too many cases of diabetic foot ulcers still lead to amputation as a result of
infection or due to the severity of the ischaemia involved. In this study, the efficacy of a
new wound dressing technology* to obtain rapid wound healing in surgical situations
following amputation is described.
Methods: Two clinical cases of surgical situations following partial foot amputation
described the healing course of the wound by using weekly iconographic follow-up until
complete healing.
Results: The first case involves an amputation of the first ray of the foot in a context of
deep infection. The per-operative discovery of cellulitis extending up to the instep led to
desloughing of tissues up to the medial malleolus and drainage using a sheet drain
before closure to bring the wound edges together using spaced sutures. Secondary
necrosis of the wound margins required further surgery to remove necrotic tissue and to
attempt directed healing and led to the use of postoperative negative pressure therapy.
This large, deep wound treated by wound dressings* required only one month of
treatment to heal.
The second case involves an amputation of the fourth toe and fifth ray of the foot,
without skin closure. In the same way as the previous case, this wound under the
dressings* healed over a six-week period.
Conclusions: In conclusion, our respective experiences with postoperative diabetic foot
wounds illustrate the efficacy of the new wound dressing technology* in these difficult-tomanage
indications.
* TLC-NOSF
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
265