Angiosomes and Wound Care in the Diabetic Foot

被引:51
作者
Clemens, Mark W. [1 ]
Attinger, Christopher E. [1 ]
机构
[1] Georgetown Univ, Ctr Med, Dept Plast Surg, Div Wound Healing, Washington, DC 20007 USA
关键词
Angiosomes; Wound care; Diabetic foot; Vascular anatomy; STAGE RENAL-DISEASE; LIMB SALVAGE; DELAY PHENOMENON; ARTERY BYPASS; CLINICAL-IMPLICATIONS; INFRAINGUINAL BYPASS; CALCANEAL FRACTURES; PERONEAL BYPASS; LOWER-EXTREMITY; TISSUE LOSS;
D O I
10.1016/j.fcl.2010.04.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Three major arteries supply the foot and ankle and create vascular redundancy through multiple arterial-arterial connections. A Doppler device may be used to map out the patient's vascular tree, including the direction of flow. Knowledge of the 6 angiosomes of the foot and ankle combined with an adequate Doppler examination can optimize the success of any planned treatment or procedure. This information is essential for successful limb salvage in diabetic patients and patients with peripheral vascular disease and ultimately helps a surgeon to decide whether a reconstruction is possible or an amputation is indicated.
引用
收藏
页码:439 / 464
页数:26
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