Minimally-invasive Distal Metatarsal Diaphyseal Osteotomy in the Treatment of Plantar Ulcer in the Diabetic Foot: A Case Report.

Autor:	Moreira FD; Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil., Jambeiro JES; Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil., Cordeiro Neto AT; Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil., Dourado RC; Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil., Padula EC; Serviço de Pé e Tornozelo, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil., Guedes A; Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil.; Grupo de Oncologia Ortopédica, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2024 Dec 27; Vol. 59 (Suppl 2), pp. e228-e232. Date of Electronic Publication: 2024 Dec 27 (Print Publication: 2024).
DOI:	10.1055/s-0044-1790194
Abstrakt:	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. Competing Interests: Conflito de Interesses Os autores não têm conflito de interesses a declarar. (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/ ).)
Databáze:	MEDLINE
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