{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:48:11Z","timestamp":1784296091263,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T00:00:00Z","timestamp":1659744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Heel ulceration in patients with diabetes mellitus (DM) is a major clinical challenge, manifesting with a protracted and uncertain healing process. The prefer treatment of heel ulceration is still controversial. This study aims at describing a newly alternative surgical method with the proximal transverse tibial bone transport technique, as an attempt to achieve wound healing in diabetic patients with large heel ulceration. Retrospective clinical study. A total of 21 diabetic patients with large heel ulceration were enrolled and followed up at least 6\u00a0months. The following parameters were assessed: Visual analogue scale (VAS), healing time, ulcer healing rate, ulcer recurrence rate and limb salvage rate. All patients got fully follow\u2010up and achieved wound healing uneventfully. Eighteen patients returned to independent walking without any helper while three patients walked using a crutch. Limb salvage was achieved in all 21 patients (100%). The mean wound area was 67.43\u2009\u00b1\u200913.31\u2009cm<jats:sup>2<\/jats:sup> (range: 46\u201097\u2009cm<jats:sup>2<\/jats:sup>). The mean healing time was 128.62\u2009\u00b1\u200916.76\u2009days (range: 91\u2010160\u2009days). 16 out of 21 patients without calcaneal osteomyelitis achieved ulcer healing with a mean duration of 124.69\u2009\u00b1\u200914.42\u2009days (range: 91\u2013143\u2009days), while the other five patients with calcaneal osteomyelitis were 141.20\u2009\u00b1\u200919.12\u2009days (range: 110\u2010160\u2009days). 2 out of 21 patients got superficial rupture at the previous wounds and healed after outpatient dressing change combined with oral antibiotics. The novel technique described is particularly applicable for large heel ulceration in diabetic patients. It offers a better alternative for achieving wound healing with a favourable encouraging outcome.<\/jats:p>","DOI":"10.1111\/iwj.13916","type":"journal-article","created":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T07:40:09Z","timestamp":1659771609000},"page":"732-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["An novel and alternative treatment method for large heel ulceration in diabetic patients: Proximal tibial cortex transverse distraction"],"prefix":"10.1111","volume":"20","author":[{"given":"Xu","family":"Jianda","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Changzhou Traditional Chinese medical hospital Affiliated to Nanjing University of Traditional Chinese Medicine  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bai","family":"Maosheng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Chenjian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Xiaojing","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Changzhou Traditional Chinese medical hospital Affiliated to Nanjing University of Traditional Chinese Medicine  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Changhui","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Junhao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Jianning","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi","family":"Ningwen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,6]]},"reference":[{"issue":"3","key":"e_1_2_7_2_1","article-title":"Pressure relieving interventions for preventing and treating diabetic foot ulcers","author":"Spencer S","year":"2002","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1520-7560(200009\/10)16:1 <::AID-DMRR113>3.0.CO;2-S"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2005.01665.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2007.12.010"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2007.03.016"},{"key":"e_1_2_7_7_1","first-page":"123","article-title":"Classification of diabetic foot ulcers: the S(AD) SAD system","volume":"2","author":"Macfarlane R","year":"1999","journal-title":"Diabetic Foot"},{"key":"e_1_2_7_8_1","unstructured":"International Working Group on the Diabetic Foot.International Consensus on the Diabetic Foot and Guidance on the Management and Prevention of the Diabetic Foot. 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