ArticleMedicine2025
Periosteal distraction as a new surgical technique for the treatment of senile diabetic foot: A retrospective case analysis.
Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Periosteal distraction-related treatments for diabetic foot/diabetic foot ulcer: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Spooky action at a distance: neuromodulation, physiologic distress signals, and limb preservation.Burns & trauma · 2026Review
- Automated Periosteal Distraction for Limb Salvage in Diabetic Foot Ulcers With Chronic Limb-Threatening Ischemia (Brief Communication).International wound journal · 2026Article
- Ilizarov-assisted periosteal distraction for refractory arteriovenous malformation ulcers: first clinical report in Asia.Hereditas · 2025Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study investigates the clinical effect and safety of periosteal distraction in the treatment of senile diabetic foot. The clinical data of 45 patients with diabetic foot treated with periosteal distraction in the Central Hospital of Dalian University of Technology from January 2020 to May 2024 were retrospectively analyzed. Finally, 42 patients were followed up, and 3 patients were lost to follow-up, including 29 males and 13 females, aged (71.17 ± 6.43), (62-84) years respectively. The Wagner grade of the ulcer surface of the affected foot was grade 2 in 25 cases, grade 3 in 13 cases, and grade 4 in 4 cases; the ulcer sites were toes in 18 cases, soles in 14 cases, dorsum of the foot in 8 cases, heels in 1 case, and ankles in 1 case. The toe oxygen saturation, ankle-brachial index (ABI), skin temperature and visual analogue score (VAS) were recorded before operation and at 1 day, 7 days, 14 days, 1 month, 2 months, and 3 months after operation. The therapeutic effect was observed and evaluated in combination with Michigan neurological sign score and lower limb computed tomography angiography. The wound ulcer healing rate, amputation rate and ulcer recurrence were also counted. The toe oxygen saturation, ABI, skin temperature, VAS score and Michigan neurological sign score of all patients were significantly improved after operation compared with those before operation, and the differences were statistically significant (P < .05); After a 3-month post-surgery period, 37 patients were observed to have microcirculation formation in the affected limb, as well as increased and thickened lower extremity arterioles in comparison to pre-surgery conditions, forming an interwoven network. During the follow-up period, 21 patients exhibited healed foot ulcers at 2 months post-surgery, while by the end of the follow-up period, 38 patients had healed foot ulcers, 5 patients had experienced a significant reduction in wound ulcer area, and the overall ulcer healing rate was 90%. Notably, no instances of amputation or ulcer recurrence were observed during treatment. Periosteal distraction is a new surgical method for the treatment of senile diabetic foot ulcer, which can obtain satisfactory short-term efficacy and is worthy of clinical promotion.
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