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External fixation versus amputation in the treatment of ulcerated diabetic foot: a cost-utility analysis using

Pablo Oscar Roza Miguel1, Laia López Capdevila2, María Rabanal Rubio3

  • 1MBA Institute Chair for Biomechanical and Medical Research, University of Oviedo, Oviedo, Spain. pablorozam@mbainstitute.eu.

Cost Effectiveness and Resource Allocation : C/E
|January 4, 2026
PubMed
Abstract

No abstract available in PubMed .

Keywords:
AmputationBurdenCharcotCostDiabetic footEconomicsExternal fixatorFoot ulcerIlizarovQuality of life

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Diabetic Foot Ulcer01:31

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Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...