Kearney et al. [23] | Laborde [17] | Rasmussen et al. [15] | Tamir et al. [24] | Van Netten et al. [25] | |
---|---|---|---|---|---|
Ulcers Healed (% of ulcers) | 98.3 % | 100 % | 93 % | 98 % | 92 % |
Healing Time | • 40 ± 52 days | • Under 2 months | • 7–224 days | • 98 % wound closure within 4 weeks | • 4–154 days |
• Mean 22 ± 26 days | |||||
• Median: 21 days | |||||
Recurrence (% of ulcers) | • 12 % | • 8 % | • 11 % | • 0 % | • 18 %: |
• 2 hallux ulcers | • 3 ulcers – not specified | • 4 lesser toes, 3 first toes | |||
• 7 lesser toe ulcers | |||||
Time to recur | 13.9 ± 15.2 months | 45–48months | Not reported | Not applicable | Not Reported |
Infections | 2 Ulcers (3 %) | 0 % | 0 % | 1 Patient (2%) | 0 % |
Complications | • 1 Amputation: ulcer non-healing due to pre-existing osteomyelits | • No infections or new deformities occurred | • 2 transfer lesions (7 % of procedures) developed 5 and 7 months after surgery | • 2 ulcers non-healing due to insufficient offloading/arterial insufficiency | • 3 Amputations: ulcers non-healing due to pre-existing infection to bone |
• 9 Transfer lesions within 8 weeks of surgery (9 % of procedures) | • 8 shifted (transfer) ulcers (21 % of procedures) | ||||
• 3 Plantar skin ruptures | • Dorsiflexion of the Metatarso-phalangeal joint. | ||||
• 1 Pain |