Early hemodynamics after tibial transverse transport in patients with nonarterial stenosis and arterial stenosis diabetic foot

Figure 1 With left diabetic foot and Wagner grade 4 foot ulcers. A: With left diabetic foot and Wagner grade 4 foot ulcers was amputated in a local hospital with non-healing chronic wounds and oozing; B and C: After referral to our department, the lower limb vascular score was 31 points and the popliteal artery (POA) was 36 cc/min (B) by preoperative B-ultrasound, with sparse plantar blood flow signals and poor microcirculation (C); D-F: One month after tibial transverse transport, the injured foot wound granulation was fresh and the wound was significantly reduced (D); B-ultrasound examination showed a significant increase in POA blood flow to 72 cc/min (E), abundant blood flow signals in plantar skin, and significant improvement in microcirculation (F).

Figure 2 Right diabetic foot of Wagner grade 3. A: Right diabetic foot of Wagner grade 3was treated by debridement and vacuum sealing drainage in the local hospital, with non-healing chronic wounds and oozing; B and C: After being referred to our department, the patient’s lower extremity vascular score was 19 points during the preoperative B-ultrasound examination, the popliteal artery (POA) blood flow was 157 cc/min (B), the plantar blood flow signals were abundant, and the microcirculation was good (C); D-F: One month after tibial transverse transport, the wounds of the affected feet were fresh with granulation, and the wounds were obviously reduced (D); the POA blood flow decreased to 90 cc/min (E) by B-ultrasound, the plantar skin blood flow signals reduced, and the microcirculation decreased obviously (F).