Novosti
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Year 2011 Vol. 19 No 1
GENERAL AND SPECIAL SURGERY
RISMAN B.V., ZUBAREV P.N.
FOOT FUNCTIONAL CHANGES IN PATIENTS WITH FOOT PYO-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME
Objectives. To improve distant results of treatment of patients with pyo-necrotic complications of the diabetic foot syndrome by studying changes of the foot biomechanics after amputation.
Methods. Pedography results have been analyzed in 89 patients with pyo-necrotic complications of diabetic foot syndrome after various operations. Investigation of the foot biomechanics (pedography) was done on the software-hardware complex “emed–АТ 25/E” (Novel, Germany).
Results. The distribution of the plantar pressure was carried out in patients who underwent different amputations in the foot region; it is established that such factors as localization and volume of the foot amputated segment are significant in development of ulcer relapses as well as in pyo-necrotic complications. It is linked with the fact that in the deformed, because of a surgery, foot significant changes in plantar pressure distribution develop and one may observe its biomechanical function disturbance.
Conclusions. Pedography data can be used to evaluate the biomechanical outcomes of amputation in the foot region and to reveal secondary changes on the contralateral limb resulting in pyo-necrotic complications.
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