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Metatarsal Head Resection for Diabetic Foot Ulcers

Gareth David Griffiths, FRCS; Thomas Jeffery Wieman, MD
Arch Surg. 1990;125(7):832-835. doi:10.1001/archsurg.1990.01410190024003.
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• diabetic patients underwent 34 metatarsal head resections for chronic neuropathic ulceration. All ulcers were located on the plantar surface beneath the metatarsophalangeal joints. The ulcers had been present for a mean of 9.0 ± 7.8 months before operation, yet they healed in a mean of 2.4 1.6 months postoperatively. None recurred during the mean follow-up time of 13.8 ± 11.0 months. Moderate peripheral vascular disease, impaired renal function, and retinopathy did not affect the time required for ulcer healing. There were two complications: one wound infection and one hematoma. No extremities were lost, and none of the patients suffered any long-term sequelae. We recommend metatarsal head resection to achieve the healing of chronic diabetic foot ulcers under the metatarsophalangeal joints.

(Arch Surg. 1990;125:832-835)


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