Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/48702
Title: Super-oxidized solution (dermacyn wound care) as adjuvant treatment in the postoperative management of complicated diabetic foot osteomyelitis: Preliminary experience in a specialized department
Authors: Aragón-Sánchez, Javier 
Lázaro-Martínez, Jose Luis
Quintana-Marrero, Yurena
Sanz-Corbalán, Irene
Hernández-Herrero, Maria J.
Cabrera-Galván, Juan J. 
Keywords: Surgical-Treatment
Infections
Feet
Efficacy
Safety, et al
Issue Date: 2013
Publisher: 1534-7346
Journal: International Journal of Lower Extremity Wounds 
Abstract: Surgery is usually used to treat diabetic foot osteomyelitis (DFO), whether primarily or in cases in which antibiotics are not able to control infection. In many cases, the bone is only partially removed, which means that residual infection remains in the bone margins, and the wound is left open to heal by secondary intent. The use of culture-guided postoperative antibiotic treatment and adequate management of the wound must be addressed. No trials exist dealing with local treatment in the postoperative management of these cases of complicated DFO. We decided to test a super-oxidized solution, Dermacyn Wound Care (DWC; Oculus Innovative Sciences Netherlands BV, Sittard, Netherlands) to obtain preliminary experience in patients in whom infected bone remained in the surgical wounds. Our hypothesis was that DWC could be useful to control infection in the residual infected bone and surrounding soft tissues and would thus facilitate healing. Fourteen consecutive patients who underwent conservative surgery for DFO, in whom clean bone margins could not be assured, were treated in the postoperative period with DWC. Eleven cases were located in the forefoot, 6 on the first ray and the rest in lesser toes, 1 in the Lisfranc joint, and 2 on the calcaneus. No side effects appeared during treatment. Neither allergies nor skin dermatitis were found. Limb salvage was successfully achieved in 100% of the cases. Healing was achieved in a median period of 6.8 weeks.
URI: http://hdl.handle.net/10553/48702
ISSN: 1534-7346
DOI: 10.1177/1534734613476710
Source: International Journal of Lower Extremity Wounds[ISSN 1534-7346],v. 12, p. 130-137
Appears in Collections:Artículos
Show full item record

SCOPUSTM   
Citations

13
checked on Jul 25, 2021

WEB OF SCIENCETM
Citations

15
checked on Jul 25, 2021

Page view(s)

24
checked on Jul 10, 2021

Google ScholarTM

Check

Altmetric


Share



Export metadata



Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.