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Metatarsal Head Resection for Diabetic Foot Ulcers
Gareth David Griffiths, FRCS;
Thomas Jeffery Wieman, MD
Arch Surg. 1990;125(7):832-835.
Abstract
• diabetic patients underwent 34 metatarsal head resections for chronic neuropathic ulceration. All ulcers were located on the plantar surface beneath the metatarsophalangeal joints. The ulcers had been present for a mean of 9.0 ± 7.8 months before operation, yet they healed in a mean of 2.4 1.6 months postoperatively. None recurred during the mean follow-up time of 13.8 ± 11.0 months. Moderate peripheral vascular disease, impaired renal function, and retinopathy did not affect the time required for ulcer healing. There were two complications: one wound infection and one hematoma. No extremities were lost, and none of the patients suffered any long-term sequelae. We recommend metatarsal head resection to achieve the healing of chronic diabetic foot ulcers under the metatarsophalangeal joints.
(Arch Surg. 1990;125:832-835)
Author Affiliations
From the Department of Surgery, University of Louisville (Ky) School of Medicine.
Footnotes
Accepted for publication March 18, 1990.
Read before the 97th Annual Meeting of the Western Surgical Association, St Louis, Mo, November 14, 1989.
Reprint requests to Department of Surgery, University of Louisville School of Medicine, 550 S Jackson St, Louisville, KY 40292 (Dr Wieman).
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