Is scintigraphy a guideline method in determining amputation levels in diabetic foot?

Abstract:

BACKGROUND:In this study, we aimed to evaluate the potential use of a 3-phase bone scintigraphy method to determine the level of amputation on treatment cost, morbidity and mortality, reamputation rates, and the duration of hospitalization in diabetic foot. METHODS:Thirty patients who were admitted to our clinic between September 2008 and July 2009, with diabetic foot were included. All patients were evaluated according to age, gender, diabetes duration, 3-phase bone scintigraphy, Doppler ultrasound, amputation/reamputation levels, and hospitalization periods. Patients underwent 3-phase bone scintigraphy using technetium-99m methylene diphosphonate, and the most distal site of the region displaying perfusion during the perfusion and early blood flow phase was marked as the amputation level. Amputation level was determined by 3-phase bone scintigraphy, Doppler ultrasound, and inspection of the infection-free clear region during surgery. RESULTS:The amputation levels of the patients were as follows: finger in six (20%), ray amputation in five (16.6%), transmetatarsal in one (3.3%), Lisfranc in two (6.6%), Chopart in seven (23.3%), Syme in one (3.3%), below-the-knee in six (20%), above the knee in one (3.3%), knee disarticulation in one (3.3%), and two patients underwent amputation at other centers. After primary amputation, reamputation was performed on seven patients, and one patient was treated with debridement for wound site problems. No mortality was encountered during study. CONCLUSIONS:We conclude that 3-phase bone scintigraphy prior to surgery could be a useful method to determine the amputation level in a diabetic foot. We conclude that further, comparative, more comprehensive, long-term, and controlled studies are required.

journal_name

J Am Podiatr Med Assoc

authors

Baykal YB,Yaman E,Burc H,Yorgancigil H,Atay T,Yıldız M

doi

10.7547/0003-0538-104.3.227

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

227-32

issue

3

eissn

8750-7315

issn

1930-8264

journal_volume

104

pub_type

杂志文章
  • Behcet's DiseaseA Case Report.

    abstract::Behcet's disease is a rare autoimmune systemic vasculitis. It usually presents with a symptom complex involving primarily mucocutaneous lesions, genital lesions, and uveitis. When it involves the lower extremity, venous and arterial disease predominates, and joint involvement occurs in approximately 50% of patients. W...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/16-087

    authors: Mahoney JM,Millonig K

    更新日期:2017-09-01 00:00:00

  • Surgical approach for enlarged peroneal tubercles.

    abstract::The peroneal tubercle is an anatomic landmark consistently found on the lateral aspect of the calcaneus. Its enlargement can be either congenital or acquired. In the past, surgical treatment of enlarged tubercles has consisted of simple excision of the tubercle. The authors have presented a technique to preserve the g...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-79-9-451

    authors: Berenter JS,Goldman FD

    更新日期:1989-09-01 00:00:00

  • Third-party reimbursement for lower-extremity wound care.

    abstract::This article describes the treatment of lower-extremity wounds, specifically foot and ankle ulcerations, in the context of reimbursement for treatments rendered. Therefore, such issues as standard of care, documentation, classification of foot wounds, coding, and reimbursement are discussed. ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-92-1-54

    authors: Goldsmith H,Garoufalis MG

    更新日期:2002-01-01 00:00:00

  • Methicillin-Resistant Staphylococcus aureus Endocarditis from a Diabetic Foot Ulcer Understanding and Mitigating the Risk.

    abstract::Diabetic foot infections are a common cause of morbidity and mortality in the United States, and successful treatment often requires an aggressive and prolonged approach. Recent work has elucidated the importance of appropriate therapy for a given severity of diabetic foot infection, and highlighted the ongoing risk s...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/17-139

    authors: Hale AJ,Vicks E,LaSalvia MT,Giurini JM,Karchmer AW

    更新日期:2018-11-01 00:00:00

  • The Impact of Glycosylated Hemoglobin and Diabetes Mellitus on Postoperative Wound Healing Complications and Infection Following Foot and Ankle Surgery.

    abstract::Abstract BACKGROUND: The relationship between hyperglycemia and adverse outcomes following surgery has been widely documented. Long-term glucose control has been recognized as a risk factor for postoperative complications. In the foot and ankle literature, long-term glycemic control as a potential perioperative risk f...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/13-026.1

    authors: Humphers J,Shibuya N,Fluhman BL,Jupiter D

    更新日期:2014-06-24 00:00:00

  • An Unusual Case of a Fibular Sesamoid Phalangeal Ligament Tear Caused By Chronic Trauma.

    abstract::Injuries involving the first metatarsophalangeal joint and its associated structures are common, especially in athletes. However, injuries to the hallucal sesamoid complex constituted only 3% of all podiatric sports medicine injuries reported by Agosta. This case study reports a female ballet dancer with an isolated f...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/18-052

    authors: Levi M,Green JI,Kim PM,Saxena A

    更新日期:2019-03-01 00:00:00

  • Measuring teaching effectiveness--or not.

    abstract::Faculty in the present-day academic medicine environment are expected to perform multiple functions, notably, the provision of high-quality teaching to the medical professionals of tomorrow. However, evaluating the effectiveness of this teaching is particularly difficult. Student evaluations of teaching, despite their...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章,评审

    doi:10.7547/1030094

    authors: Shaw GP

    更新日期:2013-01-01 00:00:00

  • Ankle equinus. Prevalence and linkage to common foot pathology.

    abstract::One hundred seventy-six of 209 consecutive new patients were examined over a 6-week period for the presence or absence of equinus deformity in the course of their workup for their primary complaint. Of the patients examined, 96.5% exhibited restricted ankle dorsiflexion requiring compensation during gait. Foot complai...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-85-6-295

    authors: Hill RS

    更新日期:1995-06-01 00:00:00

  • Preoperative and perioperative anesthesia considerations for the diabetic patient.

    abstract::Surgery involving diabetic patients requires special consideration of the possible effects of anesthesia. The authors discuss factors that affect the choice of anesthetic agent and recommendations for preparing the diabetic patient for surgery, along with potential complications. ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章,评审

    doi:10.7547/87507315-80-6-319

    authors: Addante JB,Coby ME,Wondro ME,Baker RE

    更新日期:1990-06-01 00:00:00

  • Fixation of the Austin procedure with the Herbert screw. A modified technique.

    abstract::Although the Austin osteotomy is intrinsically stable, some surgeons use fixation to enhance stability. One form of fixation that may be used for this procedure is the Herbert screw. The author presents a modification of a previously reported technique, and describes it as a five-step process. The advantages and poten...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-80-10-526

    authors: Palladino SJ

    更新日期:1990-10-01 00:00:00

  • Foot pathology and inappropriate footwear as risk factors for falls in a subacute aged-care hospital.

    abstract:BACKGROUND:Falls are a major clinical problem in the hospital setting. This study examined the prevalence of foot pathology and footwear type likely to increase the risk of falls in two subacute-care hospital wards serving elderly patients. METHODS:Two wards of a subacute aged-care hospital were selected for study. Pa...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0970213

    authors: Jessup RL

    更新日期:2007-05-01 00:00:00

  • Use of prostheses and footwear in 110 inner-city partial-foot amputees.

    abstract::The number of partial-foot amputations performed is increasing, and many recommendations have been made regarding the use of prostheses and footwear designed to prevent higher-level amputations in this population. The present study investigated the use of prostheses and shoe inserts and the types of footwear worn by p...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-91-1-34

    authors: Sobel E,Japour CJ,Giorgini RJ,Levitz SJ,Richardson HL

    更新日期:2001-01-01 00:00:00

  • Antiseptics and disinfectants. Current issues.

    abstract::The authors address current issues regarding use of antiseptics and disinfectants with particular emphasis on the problems associated with claims made by manufacturers of various chemical agents. Other issues include the efficacy and limitations of commercial products, selecting the most appropriate formulation for pr...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章,评审

    doi:10.7547/87507315-85-8-439

    authors: Terleckyj B,Elsinger EC,Axler DA

    更新日期:1995-08-01 00:00:00

  • Making the diagnosis of osteomyelitis. The role of prevalence.

    abstract::Clinicians may have poor sensitivity in determining whether a given diabetic patient with a foot ulcer has osteomyelitis. Thus many turn to diagnostic tests. The literature was reviewed and data on the sensitivity and specificity of five commonly used diagnostic tests were compiled. Using Bayes' theorem, the authors' ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-88-7-337

    authors: Wrobel JS,Connolly JE

    更新日期:1998-07-01 00:00:00

  • Giant cell tumor of the intermediate cuneiform. A case report.

    abstract::Although it has yet to be determined which surgical procedure provides the least chance for recurrence, surgical treatment remains the preferred therapy for giant cell tumors of bone. Few cases of giant cell tumor of the tarsus have been reported in the literature, with less than 10 of these cases occurring in the cun...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-82-4-208

    authors: Dunn EC,Mauro G,Cohen R

    更新日期:1992-04-01 00:00:00

  • A comparison of vitamin D levels in nondiabetic and diabetic patient populations.

    abstract:BACKGROUND:This study was designed to compare the vitamin D levels in a cohort of nondiabetic patients to populations of diabetic patients with and without Charcot neuroarthropathy. METHODS:A total of 41 participants (22 male, 19 female) with a mean +/- SD age of 59 +/- 9.43 years had serum 25-hydroxyvitamin D levels ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0980035

    authors: Yoho RM,Frerichs J,Dodson NB,Greenhagen R,Geletta S

    更新日期:2009-01-01 00:00:00

  • The Rare Lesser Metatarsal Bipartite Sesamoid A Case Report.

    abstract::Sesamoid bones and accessory ossicles are common incidental findings on radiographs. These can occasionally become symptomatic, usually after a precipitating event such as an injury or overuse, or they can be incidental findings unrelated to the presenting pathology. The aim of this study was to highlight a rare case ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/16-114

    authors: Hood CR Jr,Miller JR,Eldridge S,Tran M

    更新日期:2017-11-01 00:00:00

  • Repair of distal tendo Achillis rupture with the use of the Mitek Anchor System.

    abstract::Surgical repair of an acute, distal, tendo Achillis rupture in a 59-year-old diabetic male is described in which the Mitek Anchor System was used. The injury described is a distal tear of the insertion of the tendon into the calcaneus without avulsion fracture of the calcaneus. Sixteen months of postoperative follow-u...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-83-12-663

    authors: Hanna JR,Russell RD,Giacopelli JA

    更新日期:1993-12-01 00:00:00

  • 1996 Podiatric Practice Survey. Statistical results. Al Fisher Associates, Inc.

    abstract::This report presents the results of analyses of statistical data from 4,328 members of the American Podiatric Medical Association (APMA) who responded to the 1996 Podiatric Practice Survey, conducted from July through August 1996. Written comments from a sample of 200 respondents were also extracted for review and ana...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-86-12-576

    authors:

    更新日期:1996-12-01 00:00:00

  • Platelet gel for the surgical treatment of onychocryptosis.

    abstract:BACKGROUND:The growth factors derived from platelets contained in platelet-rich plasma comprise a series of molecules that favor the production of collagen with the proliferation of fibroblasts and new blood vessels. These substances exert their effect on the cells, acting in all the stages of cicatrization, especially...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章,随机对照试验

    doi:10.7547/0980296

    authors: Córdoba-Fernandez A,Rayo-Rosado R,Juarez-Jiménez JM

    更新日期:2008-07-01 00:00:00

  • Osteochondroma of the talar neck: a rare cause of callosity of the foot dorsum.

    abstract::Osteochondroma is the most common benign bone tumor. It rarely affects rearfoot bones, and only a few cases of talar osteochondroma have been reported. We report a case of a solitary osteochondroma of the talus that presented as a painful callus on the anterior portion of the ankle that was refractory to dermatologic ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0950295

    authors: Keser S,Bayar A

    更新日期:2005-05-01 00:00:00

  • Bilateral measurement of resting calcaneal stance position and tibial varum using digital photography and standardized positioning protocols.

    abstract:BACKGROUND:Excessive calcaneal eversion and tibial varum are thought to predispose individuals to overuse injuries such as patellofemoral pain, yet investigations of this relationship have yielded equivocal results. Differences in the methods used, including stance position, may contribute to the observed differences. ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0980198

    authors: Mahar SM,Livingston LA

    更新日期:2009-05-01 00:00:00

  • Callus formation of the tibial hallux sesamoid mimicking a bone tumor.

    abstract::Sesamoid tumors of the hallux are rare, and their incidence and differential diagnosis have not been well described. We present a case with a bizarre callus formation of the medial sesamoid of the hallux that mimicked a bone tumor. After excision of the mass and related sesamoid, the patient remained asymptomatic duri...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0950580

    authors: Kiter E,Yagci B,Duzcan E

    更新日期:2005-11-01 00:00:00

  • Simple bone cyst of the calcaneus. A case report and literature review.

    abstract::The authors presented a case report of a patient presenting with heel pain symptoms and physical findings similar to those associated with a heel spur syndrome. With a standard x-ray, the presence of a simple bone cyst was evident. Although mainly reported in tubular bones, steroid injection therapy has been successfu...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章,评审

    doi:10.7547/87507315-84-3-127

    authors: Smith SB,Shane HS

    更新日期:1994-03-01 00:00:00

  • Triplanar closing base wedge osteotomy for tailor's bunion.

    abstract::The authors discuss mathematical evaluations when considering base wedge osteotomies to correct a tailor's bunion. A review of the literature is presented in order to use clinical results when algebraic and trigonometric functions are discussed. ...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-79-3-124

    authors: Shrum DG,Sprandel DC,Marshall H

    更新日期:1989-03-01 00:00:00

  • Lateral intermetatarsal angle: a useful measurement of metatarsus primus elevatus?

    abstract::The lateral intermetatarsal angle, a measurement of the sagittal plane angular divergence between the dorsal cortices of the first and second metatarsals of lateral weightbearing foot radiographs, was compared in 30 normal and 30 hallux limitus feet. The results suggest that the angle may be measured reliably and that...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7547/87507315-91-5-251

    authors: Bryant A,Mahoney B,Tinley P

    更新日期:2001-05-01 00:00:00

  • Onychomycosis: an analysis of 50 cases and a comparison of diagnostic techniques.

    abstract::Onychomycosis is an extremely common condition that is increasing in prevalence. Although often innocuous, it may be complicated by discomfort and secondary bacterial infections. Recently introduced oral medications may be highly effective in the eradication of this condition; however, they may carry with them signifi...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-91-7-351

    authors: Borkowski P,Williams M,Holewinski J,Bakotic B

    更新日期:2001-07-01 00:00:00

  • Manipulation of the ankle as a method of treatment for ankle and foot pain.

    abstract::This article presents a series of case reports to describe the technique of ankle joint manipulation and its effects on common problems of the foot and ankle. The relationship between motion and pain is described, as are the effects of muscular inhibition on the presence of joint restriction and their association with...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0940395

    authors: Dananberg HJ

    更新日期:2004-07-01 00:00:00

  • Effect of functional foot orthoses on first metatarsophalangeal joint dorsiflexion in stance and gait.

    abstract::Reduction in first metatarsophalangeal joint maximum degree of dorsiflexion with dorsiflexion of the first ray has been proposed to be the predominant cause of hallux abducto valgus and hallux rigidus. We sought to determine whether orthoses made from a cast with the first ray plantarflexed and a 4-mm medial skive cou...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/0960474

    authors: Scherer PR,Sanders J,Eldredge DE,Duffy SJ,Lee RY

    更新日期:2006-11-01 00:00:00

  • Role of state licensing boards.

    abstract::Some leaders of the profession and its educational components have voiced concern about changes under way in California and questioned whether the state board of podiatric medicine is acting appropriately. The author attempts to clarify the role of state licensing boards, developments in California, and the board's al...

    journal_title:Journal of the American Podiatric Medical Association

    pub_type: 杂志文章

    doi:10.7547/87507315-86-8-383

    authors: Rathlesberger JH

    更新日期:1996-08-01 00:00:00