Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading

Foot deformity is one of the causes of foot ulcers. Foot ulcers often recur due to foot deformity. Foot ulcer healing alone does not reduce the risk factor of foot ulcer recurrence. The majority of foot ulcer patients, most of whom are elderly, have foot deformities. This limits the chances of under...

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Autores principales:	Yuta Terabe, Nobuhito Kaneko, Keisuke Nakabayashi, Akihiro Matsui, Hiroshi Ando
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Surgical off-loading Diabetic foot Hard-to-heal foot ulcer Simultaneous operation Surgery RD1-811
Acceso en línea:	https://doaj.org/article/37d4884129324895b0323b1cbabafba5
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spelling	oai:doaj.org-article:37d4884129324895b0323b1cbabafba52021-12-02T05:01:58ZLong-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading2352-587810.1016/j.jpra.2021.04.012https://doaj.org/article/37d4884129324895b0323b1cbabafba52021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000541https://doaj.org/toc/2352-5878Foot deformity is one of the causes of foot ulcers. Foot ulcers often recur due to foot deformity. Foot ulcer healing alone does not reduce the risk factor of foot ulcer recurrence. The majority of foot ulcer patients, most of whom are elderly, have foot deformities. This limits the chances of undergoing surgical off-loading following surgery. We present a case of diabetic foot ulcer (DFU) in which surgical off-loading was performed simultaneously with foot ulcer closure that did not recur for a period of 2 years following surgery. A 70-year-old diabetic male with a DFU presented to our hospital. He underwent surgical debridement followed by reconstruction surgery (stump plasty) simultaneous with surgical off-loading (metatarsal head resection).The immediate postoperative period during which he used the off-loading device was uneventful. Following this, he used orthosis. After 2 years, the foot ulcer had not recurred, and he was able to independently perform his daily activities.Simultaneous surgery (reconstructive surgery and surgical off-loading) is less likely to limit daily activities and can reduce the ulcer recurrence rate.Yuta TerabeNobuhito KanekoKeisuke NakabayashiAkihiro MatsuiHiroshi AndoElsevierarticleSurgical off-loadingDiabetic footHard-to-heal foot ulcerSimultaneous operationSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgical off-loading Diabetic foot Hard-to-heal foot ulcer Simultaneous operation Surgery RD1-811
spellingShingle	Surgical off-loading Diabetic foot Hard-to-heal foot ulcer Simultaneous operation Surgery RD1-811 Yuta Terabe Nobuhito Kaneko Keisuke Nakabayashi Akihiro Matsui Hiroshi Ando Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
description	Foot deformity is one of the causes of foot ulcers. Foot ulcers often recur due to foot deformity. Foot ulcer healing alone does not reduce the risk factor of foot ulcer recurrence. The majority of foot ulcer patients, most of whom are elderly, have foot deformities. This limits the chances of undergoing surgical off-loading following surgery. We present a case of diabetic foot ulcer (DFU) in which surgical off-loading was performed simultaneously with foot ulcer closure that did not recur for a period of 2 years following surgery. A 70-year-old diabetic male with a DFU presented to our hospital. He underwent surgical debridement followed by reconstruction surgery (stump plasty) simultaneous with surgical off-loading (metatarsal head resection).The immediate postoperative period during which he used the off-loading device was uneventful. Following this, he used orthosis. After 2 years, the foot ulcer had not recurred, and he was able to independently perform his daily activities.Simultaneous surgery (reconstructive surgery and surgical off-loading) is less likely to limit daily activities and can reduce the ulcer recurrence rate.
format	article
author	Yuta Terabe Nobuhito Kaneko Keisuke Nakabayashi Akihiro Matsui Hiroshi Ando
author_facet	Yuta Terabe Nobuhito Kaneko Keisuke Nakabayashi Akihiro Matsui Hiroshi Ando
author_sort	Yuta Terabe
title	Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
title_short	Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
title_full	Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
title_fullStr	Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
title_full_unstemmed	Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
title_sort	long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/37d4884129324895b0323b1cbabafba5
work_keys_str_mv	AT yutaterabe longtermefficientmanagementofdiabeticfootulcerusingsimultaneousfootulcerclosureandsurgicaloffloading AT nobuhitokaneko longtermefficientmanagementofdiabeticfootulcerusingsimultaneousfootulcerclosureandsurgicaloffloading AT keisukenakabayashi longtermefficientmanagementofdiabeticfootulcerusingsimultaneousfootulcerclosureandsurgicaloffloading AT akihiromatsui longtermefficientmanagementofdiabeticfootulcerusingsimultaneousfootulcerclosureandsurgicaloffloading AT hiroshiando longtermefficientmanagementofdiabeticfootulcerusingsimultaneousfootulcerclosureandsurgicaloffloading
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Long-term efficient management of diabetic foot ulcer using simultaneous foot ulcer closure and surgical off-loading

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