title: Review of metatarsal osteotomies for the treatment of neuropathic ulcerations.
abstract: The records of 52 patients who underwent metatarsal osteotomies for the treatment of chronic neuropathic ulcerations between the years 1983 and 1985 were analyzed in a retrospective study. Long-term follow-up information was available for all but three patients. All patients were conservatively managed preoperatively and postoperatively with shoes, accommodative orthoses, and local care. A limb salvage rate of 94%, 46 of 49 patients, was achieved in this study. Although 13 patients developed transfer ulcerations, all but one were managed either with conservative care or a lesser podiatric procedure, and all remain healed to date.
authors.affiliation: Department of Surgery, Harvard Medical School, Boston, MA.
authors.forename: T H
authors.initials: TH
authors.lastname: Tillo
authors.forename: J M
authors.initials: JM
authors.lastname: Giurini
authors.forename: G M
authors.initials: GM
authors.lastname: Habershaw
authors.forename: J S
authors.initials: JS
authors.lastname: Chrzan
authors.forename: J L
authors.initials: JL
authors.lastname: Rowbotham
mesh_terms: D000328:Adult; D000368:Aged; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005534:Foot Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000534:rehabilitation / Q000592:standards*; D012189:Retrospective Studies; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery*