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[Diabetic foot: is preventive surgery possible?].

H Reimer1, M Ketfi, M Boulmont

  • 1Groupe chirurgical de l'Hopital, Esch-Alzette, Luxembourg.

Zentralblatt Fur Chirurgie
|August 7, 1999
PubMed
Summary
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Early surgical intervention for diabetic foot complications, including prophylactic procedures for hyperkeratosis, can prevent infections and amputations. This approach ensures wound healing and avoids the need for specialized footwear.

Area of Science:

  • Podiatric Medicine
  • Diabetology
  • Surgical Podiatry

Context:

  • Diabetic foot complications frequently lead to amputations.
  • Conservative management is common, with surgical involvement reserved for infections.
  • Macrovascular diseases are excluded from this patient cohort.

Purpose:

  • To evaluate the role of early surgical intervention in managing diabetic foot disorders.
  • To assess the efficacy of prophylactic surgery for hyperkeratosis in preventing severe complications.
  • To highlight the importance of surgical involvement in early diabetic foot care.

Summary:

  • A series of 34 patients (39 feet) underwent surgical procedures, including incision/debridement and partial ray resections.
  • One-third of surgeries were prophylactic, targeting hyperkeratosis (high-pressure areas).

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  • All surgically treated wounds healed primarily, with no need for specialized footwear.

    • Impact:

    • Early diagnosis and surgical intervention can prevent mal perforans ulcers, infections, and amputations in diabetic patients.
    • Prophylactic surgery for hyperkeratosis demonstrates positive wound healing outcomes.
    • Emphasizes the benefit of a multidisciplinary team approach, including surgeons, for optimal diabetic foot care.