2016, Volume 9, Issue 3, pp 249 – 254

Minimally invasive surgery of diabetic foot – review of current techniques

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Authors and Affiliations

Correspondence to:Iozefina Botezatu, MD, orthopedic surgeon, Colentina Clinical Hospital, Bucharest, Romania, 19-21 Ștefan cel Mare Road, Bucharest, Romania, Mobile phone: +40 728894188, E-mail: botezatu_iozefina@yahoo.com

Abstract

The term diabetic foot is usually used to indicate advanced foot pathology (complex clinical situations correlating diabetic foot ulcers, diabetic foot infections, Charcot foot, and critical limb ischemia). The early recognition of the etiology of these foot lesions is essential for the therapeutic decision in order to achieve a good functional result. Several surgical procedures involving the foot have been developed in order to promote healing and avoid complications. Traditionally, surgery has been performed in an open way. The literature regarding the performance and efficacy of classical osteotomies and arthrodesis is inconsistent. This can be attributed to several variables, such as differences in patient clinical aspects and the panel of surgical techniques utilized. As with other surgical specialties, fluoroscopic imaging and minimally invasive tools are now being incorporated in these procedures. The use of high speed burrs associated with specialized osteosynthesis implants, offers several advantages over classical techniques. The ability to associate these gestures to complex protocols is beginning to be currently developed. The respect for the soft tissues is considered one of the first advantages. Despite the limited time since they were introduced in clinical practice, functional results seemed to be consistent, supporting the use of this technology.

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About this article

PMC ID: 5154308
PubMed ID: 27974928
DOI: 

Article Publishing Date (print): Jul-Sep 2016
Available Online: 

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.


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