Current concepts in curative surgery for diabetic forefoot ulcers. (June 2019)

• Record Type: Journal Article
• Authors: Fontaine, Javier La; Crisologo, Peter A.; Lavery, Lawrence
• Is Part Of: Foot. Volume 39(2019)
• Page Start: 37
• Page End: 44
• Publication Date: 2019-06
• Subjects: Curative surgery -- Diabetes -- Diabetic foot; Foot -- Diseases -- Periodicals; Foot -- Surgery -- Periodicals; Foot Diseases -- Periodicals; Foot -- surgery -- Periodicals; Pied -- Maladies -- Périodiques; Pied -- Chirurgie -- Périodiques; Pied -- Lésions et blessures -- Périodiques; Foot -- Diseases; Foot -- Surgery; Periodicals; Electronic journals; Electronic journals; 617.585005
• DOI: 10.1016/j.foot.2019.01.010
• Languages: English
• ISSNs: 0958-2592

Abstract

Highlights: Diabetic foot ulcers are costly and quite common. Offloading is the mainstay of treatment, but ulcer recurrence can occur. Curative surgery can be performed to correct deformity to allow ulcer to heal. Addressing foot deformities surgically can allow ulcer to heal faster and prevent recurrence. Abstract: Forefoot ulcerations in patients with diabetes are quite common. Underlying mechanical deformities of the foot in combination with neuropathy are the most important risk factors for ulcer development and adequate offloading is the mainstay of management. Most ulcers heal with local wound care, adequate blood supply, and pressure relief. If a foot deformity cannot be accommodated, ulcers will not heal or may recur. In this case, surgical correction of deformity is necessary. This paper reviews the most common procedures supported by medical evidence to heal neuropathic forefoot ulcers.