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Metatarsal Head Resections in Diabetic Foot Patients: A Systematic Review
Irene Sanz-Corbalán1,2, Aroa Tardáguila-García1,2, Josep M García-Alamino3
1Diabetic Foot Unit, Clínica Universitaria de Podología, Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Journal of Clinical Medicine
|June 18, 2020
Summary
Metatarsal head resection in diabetic foot patients leads to significant complications, particularly reulceration. This systematic review highlights the risks associated with this surgical procedure in this vulnerable population.
Area of Science:
- Podiatric surgery
- Diabetic complications
- Systematic reviews
Background:
- Diabetic foot ulcers are a major cause of morbidity.
- Metatarsal head resection is a surgical option for certain diabetic foot conditions.
- Complications following this surgery require thorough investigation.
Purpose of the Study:
- To systematically review and meta-analyze complications after metatarsal head resection in diabetic foot patients.
- To quantify the incidence of key adverse outcomes.
- To inform clinical decision-making regarding this procedure.
Main Methods:
- Systematic review and proportional meta-analysis adhering to PRISMA guidelines.
- Searched PubMed and Embase databases up to December 2019.
- Included 21 studies with 483 diabetic foot patients.
Main Results:
- The proportion of recurrence was 7.2%, reulceration was 20.7%, and amputation was 7.6%.
- High heterogeneity was observed across studies for recurrence, reulceration, and amputation rates.
- Reulceration emerged as a particularly frequent complication.
Conclusions:
- Metatarsal head resection in diabetic foot patients is associated with substantial complication rates.
- Reulceration is a significant concern following this surgical intervention.
- Further research may be needed to optimize surgical techniques and patient management.
