The role of surgical off-loading to prevent recurrent ulcerations.
Foot ulcerations in patients with diabetes are common. Most ulcers heal with conservative treatment, but recurrence is common. The pathway of ulcer development includes neuropathy, deformity, and trauma. The first attempt to avoid recurrence is by the use of shoes and insoles. When shoes and insoles fail, surgical correction of deformity leading to the ulcer can be attempted. This article reviews the most common procedures performed to heal ulcers or avoid recurrence.
University of Texas Southwestern Medical Center, Dallas, TX, USA Javier.lafontaine@utsouthwestern.edu.
Javier
J
La Fontaine
University of Texas Southwestern Medical Center, Dallas, TX, USA.
Lawrence A
LA
Lavery
Orthopaedic Center of the Rockies, Fort Collins, CO, USA.
Nathan A
NA
Hunt
Texas A&M Health Science Center College of Medicine, Temple, TX, USA.
Douglas P
DP
Murdoch
D001178:Arthroplasty / Q000009:adverse effects / Q000379:methods; D017719:Diabetic Foot / Q000150:complications*; D061826:Foot Orthoses; D016523:Foot Ulcer / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D006801:Humans; D023821:Limb Salvage / Q000009:adverse effects / Q000379:methods; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000517:prevention & control*; D011312:Pressure / Q000009:adverse effects; D018570:Risk Assessment; D055502:Secondary Prevention / Q000193:education / Q000379:methods; D012775:Shoes
diabetes; infection; prevention; ulcer