• Medicina clinica · Apr 2024

    Case Reports

    Minimally invasive offloading osteotomy in the treatment of diabetic foot ulcer: Analysis of 25 patients.

    • José Vicente Gil Boix, Melchor Lladó Vidal, Elena Mena Ribas, Jordi Viadé Julià, Francisco Javier Fanjul Losa, and Tofé PovedanoSantiagoSServicio de Endocrinología y Nutrición, Hospital Universitario Son Espases, Palma, Baleares, España..
    • Servicio de Endocrinología y Nutrición, Hospital Universitario Son Espases, Palma, Baleares, España. Electronic address: josevicente_gil_boix@hotmail.com.
    • Med Clin (Barc). 2024 Apr 26; 162 (8): 394397394-397.

    IntroductionDiabetes mellitus and its complications are one of the main burdensome health problems at the present time. The diabetic foot is one of the most characteristic complications.Material, Methods And ObjectiveThe objective of this work is to describe the results and complications obtained in a series of 25 cases of diabetic foot treated by minimally invasive offloading osteotomies.ResultsOf the total number of interventions, 18 were performed on refractory ulcers with prior conservative treatment, for a mean (±SD) duration of 29.28±18.42 months. The mean follow-up period was 26.46±4.89 months. Weighted pooled rates of response to treatment were as follows: 100% for ulcer healing (with a mean healing time of 22.41±7.01 days), 5.56% for ulcer recurrence, and 16.67% for ulcer transfer. In 7cases, a preventive intervention was performed on areas with pre-ulcerative lesions. Of the total number of cases, only 3presented mild infection in the intervention area.ConclusionsMinimally invasive offloading osteotomy is a technically simple intervention, which presents a high success rate with minimal complications in our series.Copyright © 2023 Elsevier España, S.L.U. All rights reserved.

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