Improvement of wound treatment in diabetic foot syndrome by a physicochemical method

Objective. To improve the treatment results of patients with diabetic foot syndrome having severe lesions complicated by purulent wounds of the foot and lower leg employing an improved ultrasound wound treatment method.

Materials and methods. The study is based on the examination and treatment data of 123 patients with severe diabetic foot syndrome, complicated by purulent wounds of the foot and lower leg, who received inpatient treatment at the Bukhara State Medical Institute Clinic for the period from 2024 to 2025.

Results. In the treatment of severe diabetic foot syndrome complicated by purulent wounds of the foot and lower leg, an established approach using combined ultrasound wound treatment with a 25 % dimexide solution and an electroactivated solution – A is more effective than ultrasound treatment of a wound with saline solution or using 25 % dimexide solution. This combined approach demonstrated acceleration of healing processes, reduction of intoxication indicators by an average of 2–4 days, elimination of major amputation cases, significant reduction in amputation rates: shin-level amputation from 18.9 % to 7.5 %, atypical foot resection from 24.3 % to 15.0 %, reamputations from 5.4 % to 0 %, postoperative stump suppuration from 5.4 % to 2.5 % compared to subgroup II A.

Conclusions. The use of ultrasound wound treatment with 25 % dimexide solution combined with electroactivated solution A for purulent wounds in diabetic foot syndrome is a more effective method which reduced the average hospital stay from9,6 ± 1,3 до 7,1 ± 0,8 days.