The role of surgical off-loading to prevent recurrent ulcerations

Javier La Fontaine, Lawrence A. Lavery, Nathan A. Hunt, Douglas P. Murdoch

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Foot ulcerations in patients with diabetes are common. Most ulcers heal with conservative treatment, but recurrence is common. The pathway of ulcer development includes neuropathy, deformity, and trauma. The first attempt to avoid recurrence is by the use of shoes and insoles. When shoes and insoles fail, surgical correction of deformity leading to the ulcer can be attempted. This article reviews the most common procedures performed to heal ulcers or avoid recurrence.

Original languageEnglish (US)
Pages (from-to)320-334
Number of pages15
JournalInternational Journal of Lower Extremity Wounds
Volume13
Issue number4
DOIs
StatePublished - Dec 20 2014

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Keywords

  • diabetes
  • infection
  • prevention
  • ulcer

ASJC Scopus subject areas

  • Surgery

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