CURRENT APPROACHES TO TREATING PATIENTS WITH FOOT PHLEGMON

To evaluate the severity of the pyoinflammatory process in the foot area, it is proposed to incorporate a tissue pressure measurement procedure in the diagnostic algorithm. The findings served as the basis for compartment syndrome diagnosis and decompressive fasciotomy, if indicated, in the area of the plantar fascia structures with high strength and elastic modulus. The degree of reparative processes in the postoperative period and the level of microbial contamination of the wound were also estimated. The investigation covered 65 patients with non-diabetic foot phlegmon, who were divided into 2 groups: 1) 34 patients, in whom the developed diagnostic and treatment algorithm for compartment syndrome, ultrasonic cavitation and ozone therapy, as well as Atrauman ointment were used; 2) 31 patients, in whom traditional treatment was performed. The findings could predict and assess the nature of the purulent process.

surgery, phlegmon, foot, surgery, compartment syndrome, fasciotomy