EARLY PARTIAL AMPUTATION, FLAP COVERAGE AND TIMELY THERAPY ARE THE CORNERSTONES OF GOOD OUTCOME IN CHRONIC DIABETIC HAND INFECTION: TWO SIMILAR CASES WITH DIFFERENT OUTCOME

Received 2020-07-27; Accepted 2021-07-12; Published 2022-07-01

Authors

  • Ahmed Suparno Bahar Moni Department of Orthopaedics, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Penang, Malaysia
  • Mohammad Rezwanul Akter Pallab Department of Surgery, Popular Medical College Hospital, Dhaka
  • Rayhan Ali Mollah Department of Orthopaedics, Dhaka Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.22452/jummec.vol25no2.9

Keywords:

Diabetic hand infection, Partial amputation, groin flap, Hand therapy

Abstract

Diabetic patients are more susceptible to chronic hand infection. Due to mixed bacterial infection, poor wound healing capacity, associated neuropathy and angiopathy, they suffer mostly from deep hand infection, which necessitates multiple surgeries and reconstruction of the defect. Early partial amputation of the digit followed by coverage of the soft tissue defect by flap and timely physiotherapy can provide satisfactory functional outcome in chronic severe hand infection cases. We report and compare two similar cases of chronic severe diabetic hand infection where differences in timing of partial amputation, coverage of the defect by groin flap and adequate postoperative rehabilitation made a gross difference in the final functional outcome.

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Published

2022-07-01

Issue

Vol. 25 No. 2 (2022)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia. 

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