DEFEAT OF ANGIOSOMA IN PURULENT-NECROTIC PROCESSES OF FOOT IN PATIENTS WITH DIABETIC GANGRENE OF LOWER

Abstract

Purpose: to study the relationship between the lesion of feeding angiosomal arteries and the localization of purulent necrotic process of the feet in patients with diabetic foot syndrome.

Material and research methods: the results of examination and treatment of 119 patients for 2017-2020 are analyzed with purulent-necrotic lesions of the feet against the background of diabetes mellitus received inpatient treatment at the department of purulent surgery of the Tashkent medical academy.

Results and their discussion: according to our studies, with the defeat of feeding arteries, the probability of occurrence of purulent-necrotic complications of diabetic foot syndrome is 95% (in 113 patients out of 119). In most cases, the destruction of plantar arteries (distal branches of the PTA) occurred (47%). In these patients, after restoration of blood flow to the affected angiosomal, good and satisfactory results were obtained. In the basin of the medial plantar artery purulent ne­crotic process was observed in 29 (90.6%) of 32 patients, lesion of the lateral plantar artery in all cases (100%) led to trophic changes on the foot.

Conclusions: with the defeat of angiosomal arteries, the development of purulent necrotic pro­cesses with diabetic gangrene of the lower extremities is noted in 95% of cases. At the same time, the greatest probability of purulent necrotic foci was noted in patients with angiosomal lesions in the PA basin (100%) and ATA (92.2%).