Volume : VIII, Issue : XI, November - 2019

Metatarsal head resection for diabetic foot ulcers.

Dr. R. Vidhun Raj Barath

Abstract :

Fifteen diabetic patients underwent 12 metatarsal head resections for chronic neuropathic ulceration. All ulcers were located on the plantar surface beneath the metatarsophalangeal joints. The ulcers had been present for a mean of 9.5 +/– 7.5 months before operation, yet they healed in a mean of 1.5 +/– 1.6 months postoperatively. None recurred during the mean follow–up time of 11.0 +/– 11.0 months. Moderate peripheral vascular disease, impaired renal function, and retinopathy did not affect the time required for ulcer healing. There were two complications: one wound infection and one hematoma. No extremities were lost, and none of the patients suffered any long–term sequelae. We recommend metatarsal head resection to achieve the healing of chronic diabetic foot ulcers under the metatarsophalangeal joints. Overall, the long–term complication rate was lower in the operative than in the medical treatment group. Also, the infection rate was greater in the medical treatment group than in the operative group. Compå early and late clinical outcomes of metatarsal head resection surgery and medical treatment showed complete superiority for the surgical approach, and metatarsal head resection is more completely cost beneficial than the medical approach.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

METATARSAL HEAD RESECTION FOR DIABETIC FOOT ULCERS., Dr.R.Vidhun Raj Barath PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-11 | November-2019

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