open access

Vol 5, No 4 (2004): Practical Diabetology
Original articles (submitted)
Published online: 2004-07-21
Get Citation

Treatment of osteomielitis in patients with diabetic foot ulcers — retrospective analysis of surgical and conservative treatment outcomes

Anna Korzon-Burakowska, Jacek Kot, Marek Przeździak, Sabina Tęcza, Grzegorz Michalski, Ewa Zdybel
Diabetologia Praktyczna 2004;5(4):183-188.

open access

Vol 5, No 4 (2004): Practical Diabetology
Original articles (submitted)
Published online: 2004-07-21

Abstract

Osteomyelitis is a frequent complication of chronic diabetic foot ulcers which significantly increases the risk of limb amputation. There is controversy as to the best method of treatment for this condition. In our study we compared the outcomes of surgical and conservative treatment of 31 diabetic patients with foot ulcers and osteomielitis. There were 16 patients in surgical and 15 in conservative group. Mean age in both groups was similar (56.8 ± 6.9 years in the surgical group and 61.6 ± 10.4 years in the conservative group; p = 0.12) . Mean diabetes duration did not differ significantly between the groups (surgical group 16.0 ± 9.9 years and 12.8 ± 6.2 years; P = 0.35) nor did the diabetes control as assessed by HbA1c level (mean HbA1c level 8.3% ± 1.1 and 8.2% ± 1.02 recpectively; P = 0.97). The mean total healing time was similar in both treatment groups (surgical group 242.0 ± 133.6 days and conservative group 178 ± 60.8 days; p = 0.20). However when we compared the total healing time in conservatively treated group (178.5 ± 60.8 days range 108– –334 days) and the healing time of the wound after amputation in surgery patients (132.1 ± 102.2 days, range 39 do 480 days) the post-amputation healing time was significantly shorter (P = 0.004). Therefore we concluded that surgical intervention might be the better option for treatment of osteomyelitis in diabetic foot patients. The prospective randomized study is needed to confirm this observation.

Abstract

Osteomyelitis is a frequent complication of chronic diabetic foot ulcers which significantly increases the risk of limb amputation. There is controversy as to the best method of treatment for this condition. In our study we compared the outcomes of surgical and conservative treatment of 31 diabetic patients with foot ulcers and osteomielitis. There were 16 patients in surgical and 15 in conservative group. Mean age in both groups was similar (56.8 ± 6.9 years in the surgical group and 61.6 ± 10.4 years in the conservative group; p = 0.12) . Mean diabetes duration did not differ significantly between the groups (surgical group 16.0 ± 9.9 years and 12.8 ± 6.2 years; P = 0.35) nor did the diabetes control as assessed by HbA1c level (mean HbA1c level 8.3% ± 1.1 and 8.2% ± 1.02 recpectively; P = 0.97). The mean total healing time was similar in both treatment groups (surgical group 242.0 ± 133.6 days and conservative group 178 ± 60.8 days; p = 0.20). However when we compared the total healing time in conservatively treated group (178.5 ± 60.8 days range 108– –334 days) and the healing time of the wound after amputation in surgery patients (132.1 ± 102.2 days, range 39 do 480 days) the post-amputation healing time was significantly shorter (P = 0.004). Therefore we concluded that surgical intervention might be the better option for treatment of osteomyelitis in diabetic foot patients. The prospective randomized study is needed to confirm this observation.
Get Citation

Keywords

diabetic foot ulcers; osteomyelitis; operative surgical procedure

About this article
Title

Treatment of osteomielitis in patients with diabetic foot ulcers — retrospective analysis of surgical and conservative treatment outcomes

Journal

Clinical Diabetology

Issue

Vol 5, No 4 (2004): Practical Diabetology

Pages

183-188

Published online

2004-07-21

Bibliographic record

Diabetologia Praktyczna 2004;5(4):183-188.

Keywords

diabetic foot ulcers
osteomyelitis
operative surgical procedure

Authors

Anna Korzon-Burakowska
Jacek Kot
Marek Przeździak
Sabina Tęcza
Grzegorz Michalski
Ewa Zdybel

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl