Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/48702
Título: Super-oxidized solution (dermacyn wound care) as adjuvant treatment in the postoperative management of complicated diabetic foot osteomyelitis: Preliminary experience in a specialized department
Autores/as: Aragón-Sánchez, Javier 
Lázaro-Martínez, Jose Luis
Quintana-Marrero, Yurena
Sanz-Corbalán, Irene
Hernández-Herrero, Maria J.
Cabrera-Galván, Juan J. 
Clasificación UNESCO: 32 Ciencias médicas
3205 Medicina interna
Palabras clave: Surgical-Treatment
Infections
Feet
Efficacy
Safety, et al.
Fecha de publicación: 2013
Publicación seriada: International Journal of Lower Extremity Wounds 
Resumen: 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
Fuente: International Journal of Lower Extremity Wounds[ISSN 1534-7346],v. 12, p. 130-137
Colección:Artículos
Vista completa

Google ScholarTM

Verifica

Altmetric


Comparte



Exporta metadatos



Los elementos en ULPGC accedaCRIS están protegidos por derechos de autor con todos los derechos reservados, a menos que se indique lo contrario.