Metatarsal osteotomies for treating neuropathic diabetic foot ulcers

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dc.contributor.author Yammine, Kaissar
dc.contributor.author Nahed, Marc
dc.date.accessioned 2019-07-04T08:31:58Z
dc.date.available 2019-07-04T08:31:58Z
dc.date.copyright 2018 en_US
dc.identifier.issn 1938-7636 en_US
dc.identifier.uri http://hdl.handle.net/10725/10976
dc.description.abstract Diabetic foot ulcers (DFUs) are usually treated with conservative management based on debridement, topical agents, and nonsurgical off-loading; however, the recurrence rate following such standard care is reported to be high. In the case of recalcitrant or recurrent ulcers, a surgical off-loading technique such as the metatarsal osteotomy (MO) is indicated. Thus, the aim of this study is to conduct a meta-analysis evaluating the efficacy of MO in treating DFUs. Four relevant studies were identified, including 119 patients with 129 DFUs; all wounds were refractory to a previous conservative treatment of a mean duration of 10.9 ± 4.2 months. With a mean follow-up period of 18.2 ± 5.7 months, the weighted pooled rates were as follows: 98.7% for ulcer healing (in a mean time to heal of 6.5 ± 1.2 weeks), 4.3% for ulcer recurrence, 10.3% for ulcer transfer, 3.7% for infection, and 3.4% for nonunion. These findings were found to be noticeably better than those reported in the literature following standard care, whether associated or not to nonsurgical off-loading methods and that for all the studied outcomes. Knowing the dismal natural history of recalcitrant DFUs treated conservatively, the results of the MO techniques seems to offer a promising alternative in terms of ulcer healing and ulcer complications. In addition to complicated wounds, the indications for MO could include noncomplicated ulcers with healing delay. en_US
dc.language.iso en en_US
dc.title Metatarsal osteotomies for treating neuropathic diabetic foot ulcers en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a meta-analysis en_US
dc.author.school SOM en_US
dc.author.idnumber 201801808 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Foot & Ankle Specialist en_US
dc.journal.volume 20 en_US
dc.journal.issue 10 en_US
dc.keywords Diabetic foot ulcer en_US
dc.keywords Metatarsal osteotomy en_US
dc.keywords Wound healing en_US
dc.keywords Meta-analysis en_US
dc.identifier.doi https://doi.org/10.1177/1938640018819784 en_US
dc.identifier.ctation Yammine, K., Nahed, M., & Assi, C. (2018). Metatarsal Osteotomies for Treating Neuropathic Diabetic Foot Ulcers: A Meta-analysis. Foot & ankle specialist, 20(10) en_US
dc.author.email kaissar.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://journals.sagepub.com/doi/full/10.1177/1938640018819784 en_US
dc.author.affiliation Lebanese American University en_US

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