Clinical Study on Limb Salvage Treatment of Wagner Grades 2-4 Diabetic Foot Ulcers using Masquelet Technique
Objective:To explore the clinical efficacy of limb salvage treatment for Wagner grades 2-4 diabetic foot ulcers using the Masquelet technique.Methods:A retrospective analysis was performed on 98 patients with Wagner grades 2-4 diabetic foot ulcers admitted to the Department of Hand and Foot Surgery and Endocrinology of the First Affiliated Hospital of USTC between March 2021 and March 2023.Patients were divided into two groups:the Polymethylmethacrylate(PMMA)group(n=49)and the Vacuum Sealing Drainage(VSD)group(n=49).The study group underwent conventional debridement combined with antibiotic PMMA treatment,while the VSD group underwent conventional debridement combined with VSD treatment.The secretion microbiological culture results,Visual Analogue Scale(VAS)pain scores,American Orthopaedic Foot & Ankle Society(AOFAS)scores,wound healing time,amputation rate,wound healing methods,ulcer recurrence rate,and overall hospital stay duration were statistically compared between the two groups.Results:All patients were followed up from 3 months to 2 years.There was no statistically significant difference in wound secretion mi-crobiological findings between the two groups(P＞0.05).Three months post-treatment,the AOFAS scores in the PMMA group were sig-nificantly higher than those in the VSD group(P＜0.05),while the VAS scores were significantly lower(P＜0.05).The overall hospital stay duration,wound healing time,amputation rate,and ulcer recurrence rate in the PMMA group were significantly lower than those in the VSD group(P＜0.05).Conclusion:Diabetic foot ulcers treated with the Masquelet technique show excellent rates of wound healing and limb salvage.The results are promising and worth promoting.
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