Background: Diabetic Foot Ulcers (DFUs) are present on about 15% of diabetic patients and still represent a challenge for orthopaedic surgeons. The aim of this prospective study was to analyse the functional and radiographic results of patients with DFUs treated by percutaneous metatarsal osteotomy. Materials and methods: 35 DFUs on 30 patients (mean age of 67 years) operated by the same surgeon were included in this study. All of the patients had peripheral neuropathy and a diagnosis of DM for a mean of 19 years. The mean diameter of the plantar ulcers was 163; 62 mm (50–250), and the most frequent grade of the University of Texas score was IIIB (43%). The mean age of the ulcers was 10.3 months. Results: The mean healing time was 7.94 ± 4.04 weeks (4 to 17 wks) and all of the patients healed. We did not record cases of ulcer recurrence at a mean follow-up of 25 months (9 to 71). The mean AOFAS score before operating was 55 (42 to 71) and, at the last check-up, was 81 (64 to 100). We had a single complication: a skin infection of Streptococcus Agalactiae, treated with antibiotic therapy. Conclusions: Minimally Invasive metatarsal osteotomy is recommended for patients with forefoot plantar DFUs without any exception of the University of Texas Diabetic Wound Classification.
The treatment of Diabetic Foot Ulcers by percutaneous metatarsal osteotomies: A prospective study
BIZ, CARLO;CORRADIN, MARCO;ZAMPERETTI, MARCO;VOLPIN, ANDREA;RUGGIERI, PIETRO
2017
Abstract
Background: Diabetic Foot Ulcers (DFUs) are present on about 15% of diabetic patients and still represent a challenge for orthopaedic surgeons. The aim of this prospective study was to analyse the functional and radiographic results of patients with DFUs treated by percutaneous metatarsal osteotomy. Materials and methods: 35 DFUs on 30 patients (mean age of 67 years) operated by the same surgeon were included in this study. All of the patients had peripheral neuropathy and a diagnosis of DM for a mean of 19 years. The mean diameter of the plantar ulcers was 163; 62 mm (50–250), and the most frequent grade of the University of Texas score was IIIB (43%). The mean age of the ulcers was 10.3 months. Results: The mean healing time was 7.94 ± 4.04 weeks (4 to 17 wks) and all of the patients healed. We did not record cases of ulcer recurrence at a mean follow-up of 25 months (9 to 71). The mean AOFAS score before operating was 55 (42 to 71) and, at the last check-up, was 81 (64 to 100). We had a single complication: a skin infection of Streptococcus Agalactiae, treated with antibiotic therapy. Conclusions: Minimally Invasive metatarsal osteotomy is recommended for patients with forefoot plantar DFUs without any exception of the University of Texas Diabetic Wound Classification.
Pubblicazioni consigliate
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
