Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers
Diabetic foot ulcer (DFU) is one of the most significant and destructive complications in diabetic patients. It is not only the main cause of patients' foot amputation but is also related to their mortality rate. The aim of this study was to evaluate the results of metatarsectomy in the recove...
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Tehran University of Medical Sciences
2025-01-01
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| Series: | Acta Medica Iranica |
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| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/10567 |
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| author | Hossein Hemmati Behrang Motamed Sedighe Masoudi Taramsari Mohammad Taghi Ashoobi Mohaya Farzin Habib Eslami Kenarsari Rastin Hosseinzaeh Asli Zahra Abbasi Ranjbar Milad Sarafi |
| author_facet | Hossein Hemmati Behrang Motamed Sedighe Masoudi Taramsari Mohammad Taghi Ashoobi Mohaya Farzin Habib Eslami Kenarsari Rastin Hosseinzaeh Asli Zahra Abbasi Ranjbar Milad Sarafi |
| author_sort | Hossein Hemmati |
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Diabetic foot ulcer (DFU) is one of the most significant and destructive complications in diabetic patients. It is not only the main cause of patients' foot amputation but is also related to their mortality rate. The aim of this study was to evaluate the results of metatarsectomy in the recovery of diabetic-resistant foot neuropathic wounds to evaluate its clinical effectiveness. This quasi-experimental, before-and-after study was done on 16 diabetic patients with refractory neuropathic ulcers, who were referred to the vascular surgery ward undergoing metatarsectomy. Patients were followed up for two weeks, one month, and three months after surgery and were evaluated for complete recovery, partial recovery, and no response. Of 16 diabetic patients with 16 refractory diabetics plantar fasciitis, 12 (75%) were male and 4 (25%) were female. The mean age of patients was 56.63. There were 5 patients with type 1 diabetes and 11 patients with type 2 diabetes. 10 patients (62.5%) had the underlying non-diabetic disease. 50% of patients had had a history of amputation. The mean duration of diabetes in 16 patients was 18.06 years. All wounds healed completely with an average healing time of 4 months (100% epithelialization). The results of the present study demonstrate that metatarsectomy can be used as a primary technique for offloading in the treatment of diabetic-resistant neuropathic wounds in the soul instead of non-surgical methods. The results prove that this method with a high recovery rate and significant clinical effectiveness can be used as an effective method in the first line of treatment of diabetic-resistant neuropathic wounds of the sole.
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| format | Article |
| id | doaj-art-29ed5fdf274f43b6b7fec3669590c1c8 |
| institution | Kabale University |
| issn | 0044-6025 1735-9694 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Tehran University of Medical Sciences |
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| series | Acta Medica Iranica |
| spelling | doaj-art-29ed5fdf274f43b6b7fec3669590c1c82025-02-09T08:50:52ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942025-01-0162510.18502/acta.v62i5.17775Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot UlcersHossein Hemmati0Behrang Motamed1Sedighe Masoudi Taramsari2Mohammad Taghi Ashoobi3Mohaya Farzin4Habib Eslami Kenarsari5Rastin Hosseinzaeh Asli6Zahra Abbasi Ranjbar7Milad Sarafi8Department of Vascular & Trauma Surgery, School of Medicine, Road Trauma Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran. AND Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran.Department of Internal Medicine, School of Medicine, Inflammatory Lung Diseases Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran.Department of Vascular & Trauma Surgery, School of Medicine, Road Trauma Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran. AND Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, IranDepartment of Physiology, Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran.Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran.Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran.Department of General Surgery, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran. Diabetic foot ulcer (DFU) is one of the most significant and destructive complications in diabetic patients. It is not only the main cause of patients' foot amputation but is also related to their mortality rate. The aim of this study was to evaluate the results of metatarsectomy in the recovery of diabetic-resistant foot neuropathic wounds to evaluate its clinical effectiveness. This quasi-experimental, before-and-after study was done on 16 diabetic patients with refractory neuropathic ulcers, who were referred to the vascular surgery ward undergoing metatarsectomy. Patients were followed up for two weeks, one month, and three months after surgery and were evaluated for complete recovery, partial recovery, and no response. Of 16 diabetic patients with 16 refractory diabetics plantar fasciitis, 12 (75%) were male and 4 (25%) were female. The mean age of patients was 56.63. There were 5 patients with type 1 diabetes and 11 patients with type 2 diabetes. 10 patients (62.5%) had the underlying non-diabetic disease. 50% of patients had had a history of amputation. The mean duration of diabetes in 16 patients was 18.06 years. All wounds healed completely with an average healing time of 4 months (100% epithelialization). The results of the present study demonstrate that metatarsectomy can be used as a primary technique for offloading in the treatment of diabetic-resistant neuropathic wounds in the soul instead of non-surgical methods. The results prove that this method with a high recovery rate and significant clinical effectiveness can be used as an effective method in the first line of treatment of diabetic-resistant neuropathic wounds of the sole. https://acta.tums.ac.ir/index.php/acta/article/view/10567Diabetic foot neuropathic ulcerMetatarsal resectionDiabetes |
| spellingShingle | Hossein Hemmati Behrang Motamed Sedighe Masoudi Taramsari Mohammad Taghi Ashoobi Mohaya Farzin Habib Eslami Kenarsari Rastin Hosseinzaeh Asli Zahra Abbasi Ranjbar Milad Sarafi Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers Acta Medica Iranica Diabetic foot neuropathic ulcer Metatarsal resection Diabetes |
| title | Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers |
| title_full | Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers |
| title_fullStr | Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers |
| title_full_unstemmed | Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers |
| title_short | Elements of Success After Metatarsectomy Healing of Neuropathic Diabetic Foot Ulcers |
| title_sort | elements of success after metatarsectomy healing of neuropathic diabetic foot ulcers |
| topic | Diabetic foot neuropathic ulcer Metatarsal resection Diabetes |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/10567 |
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