RSS-Feed abonnieren
DOI: 10.1055/s-0044-1790194
Minimally-invasive Distal Metatarsal Diaphyseal Osteotomy in the Treatment of Plantar Ulcer in the Diabetic Foot: A Case Report
Artikel in mehreren Sprachen: português | English
Abstract
The diabetic foot consumes a large number of resources and has a profound negative impact on quality of life, representing the major non-traumatic cause of lower limb amputation in adults. The present report describes a diabetic patient with a recurrent plantar ulcer in the topography of the heads of the second, third, and fourth metatarsals. The patient was treated using the distal metatarsal diaphyseal osteotomy (DMDO) technique in these bones, an Akin-type percutaneous osteotomy in the proximal phalanx of the hallux, and debridement. The 5-year postoperative follow-up revealed good outcomes regarding healing and prevention of new episodes.
Keywords
diabetes mellitus - diabetic foot - foot deformities - foot ulcer - osteotomy - surgical procedures, operativeFinancial Support
The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.
Work carried out at the Foot and Ankle Surgery Group and the Orthopedic Oncology Group, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.
Publikationsverlauf
Eingereicht: 15. Juli 2023
Angenommen: 23. Juni 2024
Artikel online veröffentlicht:
27. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Batista F, Magalhães AA, Nery C, Baumfeld D, Monteiro AC, Batista F. Minimally invasive surgery for diabetic plantar foot ulcerations. Diabet Foot Ankle 2011; 2
- 2 Biz C, Ruggieri P. Minimally invasive surgery: osteotomies for diabetic foot disease. Foot Ankle Clin 2020; 25 (03) 441-460
- 3 Biz C, Gastaldo S, Dalmau-Pastor M, Corradin M, Volpin A, Ruggieri P. Minimally invasive distal metatarsal diaphyseal osteotomy (DMDO) for chronic plantar diabetic foot ulcers. Foot Ankle Int 2018; 39 (01) 83-92
- 4 Botezatu I, Laptoiu D. Minimally invasive surgery of diabetic foot - review of current techniques. J Med Life 2016; 9 (03) 249-254
- 5 Souza FS, Padula EC, Oliveira TD. Técnica de cirurgia percutânea no tratamento do pé diabético. Rev ABTPe 2015; 9 (01) 30-35
- 6 Pecoraro RE, Reiber GE, Burgess EM. Pathways to diabetic limb amputation. Basis for prevention. Diabetes Care 1990; 13 (05) 513-521
- 7 de Prado M, Ripoll PL, Golano P. Cirugía percutánea del pie: Técnicas quirúrgicas, indicaciones, bases anatómicas. Barcelona: Masson; 2003
- 8 Tamir E, Finestone AS, Avisar E, Agar G. Mini-Invasive floating metatarsal osteotomy for resistant or recurrent neuropathic plantar metatarsal head ulcers. J Orthop Surg Res 2016; 11 (01) 78
- 9 Ferreira RC. Diabetic Foot. Part 1: Ulcers and Infections. Rev Bras Ortop 2020; 55 (04) 389-396
- 10 Mehlhorn AT, Harrasser N, Walther M. Behandlung von plantaren, neuropathischen und metatarsalen Ulzera mittels distaler minimalinvasiver metatarsaler Osteotomie. [Treatment of plantar, neuropathic and metatarsal ulcers by minimally invasive metatarsal osteotomy] Orthopade 2020; 49 (07) 625-631