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CASE REPORT article

Front. Endocrinol.

Sec. Clinical Diabetes

Volume 16 - 2025 | doi: 10.3389/fendo.2025.1635004

This article is part of the Research TopicInnovative Therapeutic Strategies for Managing Diabetic Foot Ulcers and Mitigating Associated ComplicationsView all 7 articles

Sequential treatment for diabetic foot ulcers in aortic dissection patients: A case report

Provisionally accepted
Huan  LiangHuan Liang1*Pin  DengPin Deng2Xiaofang  DingXiaofang Ding1
  • 1Beijing Longfu Hospital, Beijing, China
  • 2China Academy of Chinese Medical Sciences, Beijing, China

The final, formatted version of the article will be published soon.

Diabetic foot ulcers (DFUs) represent a prevalent complication of diabetes, with a lifetime risk ranging from 15% to 25% among diabetic patients. Research indicates that anticoagulation plays a crucial role in the management of newly diagnosed cases of diabetic lower extremity atherosclerotic obliterative disease [1] . However, in the present case, the patient developed dry gangrene in both toes after receiving vasodilator drugs during an emergency intervention for sudden aortic dissection.Given that traditional treatments, such as anticoagulation and transfemoral amputation, may not be appropriate for every case, it is imperative to explore alternative therapeutic options. This case report presents pioneering clinical evidence of a tri-therapeutic strategy integrating biomechanical conditioning transverse tibial bone transport (TTBT), Traditional Chinese Medicine Compress Therapy (TCM-CT), and antibiotic-loaded bone cement (ALBC) for diabetic foot ulcer regeneration. This innovative paradigm demonstrates concurrent activation of mechanobiological signaling pathways, phytochemical bioactivity, and sustained antimicrobial protection, achieving complete epithelialization in refractory neuropathic wounds.

Keywords: diabetic foot ulcer (DFU), antibiotic-loaded bone cement (ALBC), Aortic dissection (AD), case report, transverse tibial bone transport

Received: 25 May 2025; Accepted: 16 Jul 2025.

Copyright: © 2025 Liang, Deng and Ding. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Huan Liang, Beijing Longfu Hospital, Beijing, China

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