Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis

Background: The aim of this study was to determine the incidence of complications associated with primary closure in surgical procedures performed for diabetic foot osteomyelitis compared to those healed by secondary intention. In addition, further evaluation of the surgical digital debridement for...

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Authors: García Morales, Esther Alicia, Lázaro Martínez, José Luis, Aragón-Sánchez, Javier, Cecilia Matilla, Almudena, García Álvarez, Yolanda, Beneit Montesinos, Juan Vicente
Format: article
Publication Date:2012
Country:España
Institution:Universidad Complutense de Madrid (UCM)
Repository:Docta Complutense
Language:English
OAI Identifier:oai:docta.ucm.es:20.500.14352/123625
Online Access:https://hdl.handle.net/20.500.14352/123625
Access Level:Open access
Keyword:616.718.7/.9
diabetic foot
diabetic foot infections
osteomyelitis
surgery
Enfermería, Fisioterapia y Podología
3299 Otras Especialidades Médicas
id ES_c39f07d55aaa33b9bfb3df0521f95fbc
oai_identifier_str oai:docta.ucm.es:20.500.14352/123625
network_acronym_str ES
network_name_str España
repository_id_str
spelling Surgical complications associated with primary closure in patients with diabetic foot osteomyelitisGarcía Morales, Esther AliciaLázaro Martínez, José LuisAragón-Sánchez, JavierCecilia Matilla, AlmudenaGarcía Álvarez, YolandaBeneit Montesinos, Juan Vicente616.718.7/.9diabetic footdiabetic foot infectionsosteomyelitissurgeryEnfermería, Fisioterapia y Podología3299 Otras Especialidades MédicasBackground: The aim of this study was to determine the incidence of complications associated with primary closure in surgical procedures performed for diabetic foot osteomyelitis compared to those healed by secondary intention. In addition, further evaluation of the surgical digital debridement for osteomyelitis with primary closure as an alternative to patients with digital amputation was also examined in our study. Methods: Comparative study that included 46 patients with diabetic foot ulcerations. Surgical debridement of the infected bone was performed on all patients. Depending on the surgical technique used, primary surgical closure was performed on 34 patients (73.9%, Group 1) while the rest of the 12 patients were allowed to heal by secondary intention (26.1%, Group 2). During surgical intervention, bone samples were collected for both microbiological and histopathological analyses. Post-surgical complications were recorded in both groups during the recovery period. Results: The average healing time was 9.9±SD 8.4 weeks in Group 1 and 19.1±SD 16.9 weeks in Group 2 (p=0.008). The percentage of complications was 61.8% in Group 1 and 58.3% in Group 2 (p=0.834). In all patients with digital ulcerations that were necessary for an amputation, a primary surgical closure was performed with successful outcomes. Discussion: Primary surgical closure was not associated with a greater number of complications. Patients who received primary surgical closure had faster healing rates and experienced a lower percentage of exudation (p=0.05), edema (p<0.001) and reinfection, factors that determine the delay in wound healing and affect the prognosis of the surgical outcome. Further research with a greater number of patients is required to better define the cases for which primary surgical closure may be indicated at different levels of the diabetic foot.Taylor & FrancisUniversidad Complutense de Madrid20122012-09-2820122012-09-28journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/123625reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1236252026-06-02T12:44:21Z
dc.title.none.fl_str_mv Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
title Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
spellingShingle Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
García Morales, Esther Alicia
616.718.7/.9
diabetic foot
diabetic foot infections
osteomyelitis
surgery
Enfermería, Fisioterapia y Podología
3299 Otras Especialidades Médicas
title_short Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
title_full Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
title_fullStr Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
title_full_unstemmed Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
title_sort Surgical complications associated with primary closure in patients with diabetic foot osteomyelitis
dc.creator.none.fl_str_mv García Morales, Esther Alicia
Lázaro Martínez, José Luis
Aragón-Sánchez, Javier
Cecilia Matilla, Almudena
García Álvarez, Yolanda
Beneit Montesinos, Juan Vicente
author García Morales, Esther Alicia
author_facet García Morales, Esther Alicia
Lázaro Martínez, José Luis
Aragón-Sánchez, Javier
Cecilia Matilla, Almudena
García Álvarez, Yolanda
Beneit Montesinos, Juan Vicente
author_role author
author2 Lázaro Martínez, José Luis
Aragón-Sánchez, Javier
Cecilia Matilla, Almudena
García Álvarez, Yolanda
Beneit Montesinos, Juan Vicente
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.718.7/.9
diabetic foot
diabetic foot infections
osteomyelitis
surgery
Enfermería, Fisioterapia y Podología
3299 Otras Especialidades Médicas
topic 616.718.7/.9
diabetic foot
diabetic foot infections
osteomyelitis
surgery
Enfermería, Fisioterapia y Podología
3299 Otras Especialidades Médicas
description Background: The aim of this study was to determine the incidence of complications associated with primary closure in surgical procedures performed for diabetic foot osteomyelitis compared to those healed by secondary intention. In addition, further evaluation of the surgical digital debridement for osteomyelitis with primary closure as an alternative to patients with digital amputation was also examined in our study. Methods: Comparative study that included 46 patients with diabetic foot ulcerations. Surgical debridement of the infected bone was performed on all patients. Depending on the surgical technique used, primary surgical closure was performed on 34 patients (73.9%, Group 1) while the rest of the 12 patients were allowed to heal by secondary intention (26.1%, Group 2). During surgical intervention, bone samples were collected for both microbiological and histopathological analyses. Post-surgical complications were recorded in both groups during the recovery period. Results: The average healing time was 9.9±SD 8.4 weeks in Group 1 and 19.1±SD 16.9 weeks in Group 2 (p=0.008). The percentage of complications was 61.8% in Group 1 and 58.3% in Group 2 (p=0.834). In all patients with digital ulcerations that were necessary for an amputation, a primary surgical closure was performed with successful outcomes. Discussion: Primary surgical closure was not associated with a greater number of complications. Patients who received primary surgical closure had faster healing rates and experienced a lower percentage of exudation (p=0.05), edema (p<0.001) and reinfection, factors that determine the delay in wound healing and affect the prognosis of the surgical outcome. Further research with a greater number of patients is required to better define the cases for which primary surgical closure may be indicated at different levels of the diabetic foot.
publishDate 2012
dc.date.none.fl_str_mv 2012
2012-09-28
2012
2012-09-28
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/123625
url https://hdl.handle.net/20.500.14352/123625
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis
publisher.none.fl_str_mv Taylor & Francis
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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