Staged antibiotic-loaded cement-based reconstruction versus flap-based reconstruction for complex diabetic foot defects in patients with osteoporosis: a retrospective cohort study - Takeaways - MDSpire

Staged antibiotic-loaded cement-based reconstruction versus flap-based reconstruction for complex diabetic foot defects in patients with osteoporosis: a retrospective cohort study

  • By

  • Hanlin Zhang

  • Desheng Chen

  • Qiang Song

  • Fan Gong

  • Peiling Li

  • Yu Li

  • Le Fei

  • Yanchuan Yang

  • Anyang Yu

  • May 20, 2026

  • 0 min

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  • 1

    The study compared the efficacy and safety of antibiotic-loaded bone cement with negative pressure therapy and flap surgery for diabetic foot ulcers.

  • 2

    Operative time and blood loss were significantly lower in the AB-NPWT group compared to the flap surgery group.

  • 3

    At 12 months, complete wound healing and limb salvage rates were similar between the two treatment groups.

  • 4

    Complication rates were comparable, but the profiles of complications differed between the AB-NPWT and flap surgery groups.

  • 5

    The findings suggest individualized treatment selection based on patient characteristics, with no significant differences in main outcomes.

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