The impact of residual diabetic toe osteomyelitis at the conservative surgical resection margins on prognosis
Main finding · Wound healing timeResult — go to the resultHazard ratio 1.195 95% CI 0.668–2.136Authors' conclusion
The residual osteomyelitis in diabetic toe osteomyelitis post-conservative surgery does not impact the wound healing.
Study context
- Population
- Patients with diabetic toe osteomyelitis (histopathology-diagnosed) who underwent conservative surgery
- Participants
- 67 patients
- Exposure
- Positive vs negative bone margins after conservative surgery
- Positive bone marginsn = 48
- Negative bone marginsn = 19reference
- Outcome
- Wound healing time
- Follow-up
- 16-week after discharge
Main finding
As reported in the abstract
Hazard ratio
1.195
95% CI 0.668–2.136
P = 0.549
By group
Positive bone marginsvs Negative bone margins
HR 1.195 (95% CI 0.668–2.136); P = 0.549
Observational data: associations, not effects.
Further findings
Wound healing rate
P = 0.93
Inpatient days
P = 0.385
Duration of antibiotics
P = 0.272
Ankle-brachial index as factor influencing wound healing
- HR
- 5.399 (95% CI 1.145-25.455; p = 0.033)
- Cox regression
Original publication
The impact of residual diabetic toe osteomyelitis at the conservative surgical resection margins on prognosis. Diabet Med. Published 19 December 2024. doi:10. 1111/ dme. 15502
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