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ORIGINAL RESEARCH article

Front. Surg.
Sec. Orthopedic Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1396897
This article is part of the Research Topic Harnessing Artificial Intelligence for Multimodal Predictive Modeling in Orthopedic Surgery View all 5 articles

Comparison of the efficacy of tibial transverse transfer and periosteal distraction techniques in the treatment of diabetic foot refractory ulcers

Provisionally accepted
Yang Yang Yang Yang Fang Chen Fang Chen guo y. chen guo y. chen wei wang wei wang *
  • Yubei District People’s Hospital, Chongqing, China

The final, formatted version of the article will be published soon.

    Objective: To investigate the efficacy of comparing tibia transverse transport (TTT) and periosteal distraction in treating diabetic foot ulcers.Methods A retrospective analysis of 19 patients with diabetic foot ulcers treated with both procedures between February 2020 and November 2022, 8 of whom were treated with the tibial transverse transfer technique (transfer group) and 11 with the osteochondral distraction technique (distraction group), was performed to compare and analyze the clinical efficacy of the two methods.All wounds were healed in both groups, and the healing time ranged from 15 to 41d with a mean of 28d. The limb preservation rate was 100%. The operative time, intraoperative bleeding, and pain score in the operative area were significantly less in the distraction group than in the removal group, with statistically significant differences (P<0.05). Intra-group comparison between the two groups of patients after surgery revealed that the skin temperature、ABI、TcPO2、SWM and VAS of the affected limb were significantly improved compared with those before surgery, and the difference was statistically significant (P<0.05). The expression levels of VEGF、bFGF、EGF and PDGF were significantly higher than before surgery in both groups, and the difference was statistically significant (P<0.05). No statistically significant differences were found in skin temperature、ABI、TcPO2、SWM、VAS、 VEGF 、 bFGF 、 EGF and PDGF between the two groups at the corresponding time points preoperatively and postoperatively (P>0.05).The Periosteal distraction technique can significantly promote the healing of diabetic foot ulcers. It has the same efficacy as TTT in promoting the healing of diabetic foot ulcer wounds and improving the peripheral circulation of affected limbs. In addition, the periosteal distraction technique has the advantages of small trauma, simple operation, few complications, and convenient nursing care.

    Keywords: Periosteal distraction, tibial transverse transfer technique, Diabetic foot ulcers, Distraction osteogenesis, diabetes

    Received: 06 Mar 2024; Accepted: 23 Sep 2024.

    Copyright: © 2024 Yang, Chen, chen and wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: wei wang, Yubei District People’s Hospital, Chongqing, China

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