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פריצת דרך: מטפלים בכף רגל סוכרתית באמצעות... מלט

ד"ר איל מלמד, רופא בכיר במחלקת אורתופדיה ב' ובשירות כף רגל וקרסול ברמב"ם, שב לאחרונה מכינוס השנתי של החברה האמריקאית לכף רגל וקרסול בוושינגטון. במסגרת הכינוס הציג ד"ר מלמד את עבודתו המשותפת עם ד"ר אלי פלד, סגן מנהל מחלקת אורתופדיה ב' ברמב"ם, על "ניסיון הטיפול בחולים עם כף רגל סוכרתית וזהום בעצם (אוסטיאומייליטיס) בשימוש בגופי מלט (צמנט) המכילים אנטיביוטיקה"

כלים

השיטה פותחה ברמב"ם על ידי ד"ר איל מלמד ורופאי מחלקה אורתופדית ב', ד"ר אלי פלד, ד"ר סרגי סלמן ומנהל המחלקה ד"ר דורון נורמן.

בעבודה נבדקו התוצאות ב-20 החולים הראשונים, שבהם נוסתה השיטה עם 90% הצלחה. כולם היו מועמדים לקטיעה חלקית בכף הרגל על פי הגישה המקובלת בארץ ובעולם, וחלקם אף הופנו ממקומות אחרים שם הוצע להם לעבור קטיעה.

לדבריו של ד"ר מלמד, שיטה זו מהווה פריצת דרך של ממש: "חשיבות השימוש בצמנט הוא באפשרות לשחרור איטי של אנטיביוטיקה בריכוז מקומי גבוה, אך לא פחות חשובה מכך היא העובדה, שהצמנט מייצב את הרקמה במקרים בהם נדרש סילוק נרחב של עצם מזוהמת כתנאי לריפוי. לפני שיטת הצמנט, כריתת עצם נרחבת הייתה גורמת לחוסר יציבות של הרקמה ונמק שלה, ולכן לא הייתה אפשרית".

העבודה זכתה לתהודה רבה וקיבלה כותרת ראשית באמצעי המדיה האלקטרונים בארה"ב כגון Business News.

Tags:

איל מלמד

דורון נורמן

כף רגל סוכרציצ

סרגי סלמן

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