Efficacy of transverse tibial bone transport with multiple drainage debridement in the treatment of Wagner grade Ⅲ and Ⅳ diabetic foot
Objectives:To investigate the clinical efficacy of transverse tibial bone transport(TTBT)with multiple drainage debridement in the treatment of diabetic foot(DF),and to provide a clinical basis for further treatment research.Methods:A retrospective study was conducted on twenty-one cases with Wagner grade Ⅲ and Ⅳ DF admitted from October 2020 to March 2023.There were 10 males and 11 females,aged 28 to 81 years,with an average age of(55.8±20.7)years.Patients were treated with TTBT with multiple drainage debridement.The time for the recovery of blood leukocyte and C-reactive protein levels to less than 10 mg/L from multiple drainage debridement,the time for a significant reduction in swelling and purulent discharge,and the time for wound healing were recorded.Patients were further grouped based on the Wagner grades,ages,and albumin levels.The time for recovering blood leukocyte levels to below 11.0×109/L,the time for recovering C-reactive protein to below 10 mg/L,the time for a significant reduction in swelling,the time for a significant reduction in purulent discharge,and the time for wound healing were compared among these groups.Results:Patients were followed up for 3 to 24 months,with an average of(6.0±4.1)months.TTBT with multiple drainage debridement in the treatment of DF promoted the recovery of blood leukocyte and C-reactive protein levels,reduced swelling,reduced purulent discharge,and accelerated wound healing.In patients with Wagner grade Ⅲ and Ⅳ DF,there were no statistically significant differences in the time for recovering blood leukocyte levels to below 11.0×109/L,time for recovering C-reactive protein to below 10 mg/L,time for significant reduction in swelling,time for significant reduction in purulent discharge,or time for wound healing(P>0.05).However,among patients grouped by age,there were statistically significant differences in the time for recovering blood leukocyte levels to below 11.0×l09/L,time for recovering C-reactive protein to below 10 mg/L,time for significant reduction in swelling,time for significant reduction in purulent discharge,and time for wound healing(P<0.05).Among patients grouped by different albumin levels,only the time for a significant reduction in purulent discharge showed statistically significance(P<0.05).Conclusions:TTBT with multiple drainage debridement is effective in the treatment of DF.It is preliminarily believed that the prognosis of DF correlates with patient age and albumin levels,providing clinical evidence for further treatment research.
Diabetic FootTransverse Tibial Bone TransportMulti-port Drainage