Open AccessComplications associated with the approach to metatarsal head resection in diabetic foot osteomyelitis
Author(s) -
TardáguilaGarcía Aroa,
SanzCorbalán Irene,
MolinesBarroso Raúl J.,
ÁlvaroAfonso Francisco J.,
GarcíaÁlvarez Yolanda,
LázaroMartínez José L.
Publication year - 2019
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13055
Subject(s) - medicine , osteomyelitis , dorsum , surgery , diabetic foot , foot (prosody) , retrospective cohort study , metatarsal bones , diabetes mellitus , anatomy , linguistics , philosophy , endocrinology
The aim of this study was to evaluate the recovery time and the development of complications in the dorsal and plantar approach to metatarsal head resections (MHR) in patients with diabetic foot ulcers complicated by osteomyelitis. A retrospective study was carried out involving 108 patients who underwent MHRs for the treatment of diabetic foot osteomyelitis. Two cohorts were defined: dorsal approach with incision closed with sutures and plantar approach with ulcer healed using conservative treatment. The main outcomes were the weeks until healing and complications related to the approaches. Fifty‐three patients (49.1%) underwent a plantar approach and 55 (50.9%) a dorsal approach. Both approaches rendered similar healing times. However, the patients undergoing a dorsal approach developed more post‐surgical complications than patients treated through a plantar approach. The dorsal approach intervention was performed on smaller and shallower ulcers; however, more complications developed at follow up using this approach than through a plantar approach for MHR complicated with osteomyelitis.