title: Panmetatarsal head resection in chronic neuropathic ulceration.
abstract: Jacobs (1) reported use of the Clayton modification of the Hoffman procedure on 12 patients as the procedure of choice in select diabetics with abscess and ulceration. He described a dorsal transverse incision, amputation of all metatarsal heads, through-and-through drainage from a dorsal to plantar direction at the site of abscess formation, and use of a Jackson-Pratt drain dorso-laterally. The authors describe a modification of this procedure that has been performed for 6 years.
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003929:Diabetic Neuropathies / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000601:surgery*; D008875:Middle Aged; D011182:Postoperative Care; D012008:Recurrence; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery*