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Vol 5, No 4 (2004): Practical Diabetology
Research paper
Submitted: 2012-01-02
Published online: 2004-07-21
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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
DOI: 10.5603/cd.8674
·
Diabetologia Praktyczna 2004;5(4):183-188.

open access

Vol 5, No 4 (2004): Practical Diabetology
Original articles
Submitted: 2012-01-02
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.

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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

Article type

Research paper

Pages

183-188

Published online

2004-07-21

Page views

937

Article views/downloads

1675

DOI

10.5603/cd.8674

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

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