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Conference Paper: Diabetic Hand Problems

TitleDiabetic Hand Problems
Authors
Issue Date2011
PublisherInternational Society of Orthopaedic Surgery and Traumatology.
Citation
The 25th Triennial World Congress (SICOT 2011), Prague, Czech Republic, 6-9 September 2011. In Abstract Book of 25th Triennial World Congress, SICOT 2011, p. abstract no. 29979 How to Cite?
AbstractA retrospective review of hand infection cases for the period of 2006-2010 aws performed. We studied 37 patients with diabetic hand infection. The average age was 62 (23-87). 54% were male and 46% were female. 10 patients required insulin injection of which 27 was initially on oral medication. Out of these 27, 5 needed to switch to insulin injection during hospital stay. 15 patients (40%) had polymicrobial infection. Out of 15 patients; 11 patients (73%) required multiple amputation. 4 patients (27%) required digital amputation. 13 patients (35%) had superficial infection while 24 patients (65%) had deep infection. Out of there 24 patients with deep infection, 19 (79%) required digital amputation. There was no proximal amputation. Deep infection results in significantly prolonged hospital stay (average 16 days). Key points in management include Proper glycerin control to decrease immunopathy Proper immobilization during acute infection to slow down spread of infection and control edema ¬ Early aggressive antibiotic management to cover mixed growth Aggressive exploration and radical repeated debridement to control infection Digital amputation should be considered early if the digit is not able to achieve reasonable function Start hand rehabilitation early and keep non-infected part mobile
DescriptionSession: Hand - Miscellaneous
Oral Presentation
Persistent Identifierhttp://hdl.handle.net/10722/142856

 

DC FieldValueLanguage
dc.contributor.authorIp, WYen_US
dc.contributor.authorJalil, SA-
dc.date.accessioned2011-10-28T02:57:19Z-
dc.date.available2011-10-28T02:57:19Z-
dc.date.issued2011en_US
dc.identifier.citationThe 25th Triennial World Congress (SICOT 2011), Prague, Czech Republic, 6-9 September 2011. In Abstract Book of 25th Triennial World Congress, SICOT 2011, p. abstract no. 29979en_US
dc.identifier.urihttp://hdl.handle.net/10722/142856-
dc.descriptionSession: Hand - Miscellaneous-
dc.descriptionOral Presentation-
dc.description.abstractA retrospective review of hand infection cases for the period of 2006-2010 aws performed. We studied 37 patients with diabetic hand infection. The average age was 62 (23-87). 54% were male and 46% were female. 10 patients required insulin injection of which 27 was initially on oral medication. Out of these 27, 5 needed to switch to insulin injection during hospital stay. 15 patients (40%) had polymicrobial infection. Out of 15 patients; 11 patients (73%) required multiple amputation. 4 patients (27%) required digital amputation. 13 patients (35%) had superficial infection while 24 patients (65%) had deep infection. Out of there 24 patients with deep infection, 19 (79%) required digital amputation. There was no proximal amputation. Deep infection results in significantly prolonged hospital stay (average 16 days). Key points in management include Proper glycerin control to decrease immunopathy Proper immobilization during acute infection to slow down spread of infection and control edema ¬ Early aggressive antibiotic management to cover mixed growth Aggressive exploration and radical repeated debridement to control infection Digital amputation should be considered early if the digit is not able to achieve reasonable function Start hand rehabilitation early and keep non-infected part mobile-
dc.languageengen_US
dc.publisherInternational Society of Orthopaedic Surgery and Traumatology.-
dc.relation.ispartofAbstract Book of 25th Triennial World Congress, SICOT 2011en_US
dc.titleDiabetic Hand Problemsen_US
dc.typeConference_Paperen_US
dc.identifier.emailIp, WY: wyip@hku.hken_US
dc.identifier.emailJalil, SA: dramirjalil@yahoo.com-
dc.identifier.authorityIp, WY=rp00401en_US
dc.identifier.hkuros196892en_US
dc.identifier.spageabstract no. 29979-
dc.identifier.epageabstract no. 29979-
dc.publisher.placeFrance-

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