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Short‐term effect of scalpel debridement of plantar callosities versus treatment with salicylic acid patches: The EMEDESCA randomized controlled trial
Author(s) -
GijónNoguerón Gabriel,
GarcíaPaya Irene,
MoralesAsencio José Miguel,
JiménezCebrián Ana,
OrtegaÁvila Ana Belén,
CerveraMarín José Antonio
Publication year - 2017
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/1346-8138.13720
Subject(s) - medicine , debridement (dental) , salicylic acid , surgery , foot (prosody) , visual analogue scale , randomized controlled trial , linguistics , philosophy , genetics , biology
This study compares scalpel debridement versus salicylic acid patches in the treatment of plantar callosities. A randomized clinical trial ( ACTRN 12614000591651) was performed with 62 patients, divided into two intervention groups. Group A received treatment with salicylic acid patches (Callívoro Marthand ® ) and group B underwent scalpel debridement of plantar callosities. Pain was measured on a visual analog scale, and foot pain and disability were evaluated using the Manchester Foot Pain Disability Index ( MFPDI ) questionnaire (Spanish version). Significant differences were observed in pain measured immediately after treatment ( P < 0.001) and at 15 days and 6 weeks after treatment. For some components, the MFPDI questionnaire revealed significantly better outcomes by scalpel debridement at 15 days after treatment. The scalpel debridement of plantar callosities relieves pain more effectively than salicylic acid patches, and patients achieve greater functionality in the initial weeks after debridement.