Effectiveness and safety of elective surgical procedures to improve wound healing and reduce re-ulceration in diabetic patients with foot ulcers

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The objective is to evaluate the effectiveness and safety of surgical off-loading to heal diabetic foot ulcers and prevent ulcer recurrence. Usually, structural foot deformities such as hallux rigidus, hammertoe deformities and equinus of the ankle contribute to abnormal pressure and shear forces and non-healing foot ulcers. Elective surgery to remove the deformity and restore joint mobility has been shown to be safe and effective to improve wound healing of recalcitrant ulcer and to reduce the risk of re-ulceration. Unfortunately, there is very little high-level evidence to help guide patient selection or to compare clinical outcomes.

Original languageEnglish (US)
Pages (from-to)60-63
Number of pages4
JournalDiabetes/Metabolism Research and Reviews
Volume28
Issue numberSUPPL. 1
DOIs
StatePublished - Feb 2012

Fingerprint

Elective Surgical Procedures
Foot Ulcer
Wound Healing
Ulcer
Equinus Deformity
Hallux Rigidus
Foot Deformities
Safety
Diabetic Foot
Ankle
Patient Selection
Joints
Pressure
Recurrence

Keywords

  • Amputation
  • Diabetes
  • Neuropathy
  • Prevention
  • Ulcer

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

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AB - The objective is to evaluate the effectiveness and safety of surgical off-loading to heal diabetic foot ulcers and prevent ulcer recurrence. Usually, structural foot deformities such as hallux rigidus, hammertoe deformities and equinus of the ankle contribute to abnormal pressure and shear forces and non-healing foot ulcers. Elective surgery to remove the deformity and restore joint mobility has been shown to be safe and effective to improve wound healing of recalcitrant ulcer and to reduce the risk of re-ulceration. Unfortunately, there is very little high-level evidence to help guide patient selection or to compare clinical outcomes.

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