Resection of the metatarsal head for diabetic foot ulcers

被引:45
|
作者
Wieman, TJ [1 ]
Mercke, YK [1 ]
Cerrito, PB [1 ]
Taber, SW [1 ]
机构
[1] Univ Louisville, Dept Surg, Div Surg Oncol, Sch Med, Louisville, KY 40292 USA
来源
AMERICAN JOURNAL OF SURGERY | 1998年 / 176卷 / 05期
关键词
D O I
10.1016/S0002-9610(98)00235-9
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: Diabetic foot ulceration is a worldwide health problem. Approximately 15% of the 10 million diabetic patients in the United States will develop a foot ulceration at some time in their lives. The presence of a foot ulcer in this population is extremely debilitating and dramatically increases the risk of lower extremity amputation, accounting for approximately 67,000 lost limbs each year. Additionally, the costs associated with treating foot ulcers in diabetic patients is a major expense in the overall care of this patient group. METHODS: An 11-year retrospective study was conducted to evaluate 101 consecutive patients with diabetic ulcers of the forefoot who were treated using resection of the metatarsal head as the primary means of obtaining wound closure. RESULTS: The results indicate that 88% of the ulcers were healed by using this technique, and relatively move rapidly than would be expected when compared with historical norms. CONCLUSIONS: Resection of the metatarsal head is a safe and relatively inexpensive procedure that facilitates closure of the lesion, helps to control infection, and prevents countless and costly amputations. Am J Surg. 1998;176:436-441. (C) 1998 by Excerpta Medica, Inc.
引用
收藏
页码:436 / 441
页数:6
相关论文
共 50 条
  • [41] Treatment of diabetic foot ulcers
    Vuorisalo, S.
    Venermo, M.
    Lepantalo, M.
    JOURNAL OF CARDIOVASCULAR SURGERY, 2009, 50 (03): : 275 - 291
  • [42] Treatment of diabetic foot ulcers
    Ahn, Jiyong
    JOURNAL OF THE KOREAN MEDICAL ASSOCIATION, 2021, 64 (08): : 529 - 536
  • [43] Treatment for diabetic foot ulcers
    Cavanagh, PR
    Lipsky, BA
    Bradbury, AW
    Botek, G
    LANCET, 2005, 366 (9498): : 1725 - 1735
  • [44] Debridement of diabetic foot ulcers
    Edwards, Jude
    Stapley, Sally
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (01):
  • [45] Neuropathic diabetic foot ulcers
    Aksenov, IV
    NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (16): : 1694 - 1694
  • [46] MICROBIOLOGY OF DIABETIC FOOT ULCERS
    LOUIE, TJ
    TALLY, FP
    BARTLETT, JG
    GORBACH, SL
    CLINICAL RESEARCH, 1975, 23 (02): : A107 - A107
  • [47] METATARSAL HEAD RESECTION IN TREATMENT OF RHEUMATOID ARTHRITIS
    AMUSO, SJ
    WISSINGER, HA
    MARGOLIS, HM
    EISENBEI.CH
    STOLZER, BL
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1971, (74) : 94 - +
  • [48] METATARSAL HEAD RESECTION IN THE TREATMENT OF THE RHEUMATOID FOREFOOT
    GOLDIE, I
    ALTHOFF, B
    BREMELL, T
    IRSTAM, L
    ACTA ORTHOPAEDICA SCANDINAVICA, 1983, 54 (03): : 488 - 489
  • [49] METATARSAL HEAD RESECTION FOR RHEUMATOID DEFORMITIES OF THE FOREFOOT
    GAINOR, BJ
    EPSTEIN, RG
    HENSTORF, JE
    OLSON, S
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1988, (230) : 207 - 213
  • [50] METATARSAL HEAD RESECTION IN THE TREATMENT OF THE RHEUMATOID FOREFOOT
    GOLDIE, I
    BREMELL, T
    ALTHOFF, B
    IRSTAM, L
    SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, 1983, 12 (02) : 106 - 112