Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization
المؤلفون المشاركون
Van den Brande, Pierre
Denecker, Nathalie
Gallala, Sarah
Debing, Erik
Aerden, Dimitri
المصدر
International Journal of Vascular Medicine
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-02-02
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Purpose.
Angiosome-guided revascularization is an approach that improves wound healing but requires a surgeon to determine which angiosomes are ischemic.
This process can be more difficult than anticipated because diabetic foot (DF) wounds vary greatly in quantity, morphology, and topography.
This paper explores to what extent the heterogeneous presentation of DF wounds impedes development of a proper revascularization strategy.
Methods.
Data was retrieved from a registry of patients scheduled for below-the-knee (BTK) revascularization.
Photographs of the foot and historic benchmark diagrams were used to assign wounds to their respective angiosomes.
Results.
In 185 limbs we detected 345 wounds.
Toe wounds (53.9%) could not be designated to a specific angiosome due to dual blood supply.
Ambiguity in wound stratification into angiosomes was highest at the heel, achilles tendon, and lateral/medial side of the foot and lowest for malleolar wounds.
In 18.4% of the DF, at least some wounds could not confidently be categorized.
Proximal wounds (coinciding with toe wounds) further steered revascularization strategy in 63.6%.
Multiple wounds required multiple BTK revascularization in 8.6%.
Conclusion.
The heterogeneous presentation in diabetic foot wounds hampers unambiguous identification of ischemic angiosomes, and as such diminishes the capacity of the angiosome model to optimize revascularization strategy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Aerden, Dimitri& Denecker, Nathalie& Gallala, Sarah& Debing, Erik& Van den Brande, Pierre. 2014. Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization. International Journal of Vascular Medicine،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-489338
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Aerden, Dimitri…[et al.]. Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization. International Journal of Vascular Medicine No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-489338
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Aerden, Dimitri& Denecker, Nathalie& Gallala, Sarah& Debing, Erik& Van den Brande, Pierre. Wound Morphology and Topography in the Diabetic Foot : Hurdles in Implementing Angiosome-Guided Revascularization. International Journal of Vascular Medicine. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-489338
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-489338
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر