Clinical Algorithm of Limb Salvage for Diabetic Foot Gangrene and Skin Ulcer

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  • UEMURA Tetsuji
    <i>Department of Plastic and Reconstructive Surgery, Saga University Hospital</i>
  • HARADA Yoshimi
    <i>Department of Plastic and Reconstructive Surgery, Saga University Hospital</i>
  • MASUMOTO Kazuyuki
    <i>Department of Plastic and Reconstructive Surgery, Saga University Hospital</i>
  • SATAKE Yoshiyasu
    <i>Department of Plastic and Reconstructive Surgery, Saga University Hospital</i>
  • ISHIHARA Yasuhiro
    <i>Department of Plastic and Reconstructive Surgery, Saga University Hospital</i>

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Other Title
  • 下肢救済を目的とした糖尿病性足壊疽・潰瘍に対する治療アルゴリズム

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 We have been promoting regional alliances to provide strategic remedies and treatment for the lower extremities of patients with diabetic foot lesion. We treated 221 patients with diabetic foot diseases during the 3-year period from January 2006 to December 2008 in Saga University Hospital and other related hospitals.<br> The cure rate in all of the patients was 62%, and the rate of patients who received revascularization was 89%. It was confirmed that the use of common therapeutic algorithms would be effective for the treatment of diabetic foot lesions from the standpoint of therapeutic standardization. <br> Microsurgical technique is essential for vascularization and limb salvage of the diabetic foot.

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