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Diabetic Foot Ulcer

Diabetic Foot Ulcer

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,...

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Related Experiment Video

Updated: Jul 22, 2026

$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Effect of Surgical Procedures for Rheumatoid Forefoot Deformities on Radiographic Foot Length and Width Variations.

Masahiro Horita¹, Yohei Kiso², Yoshihisa Nasu³

¹Department of Orthopaedic Surgery, Faculty of Medical Development Field, Okayama University, Okayama 700-8558, Japan.

Journal of Clinical Medicine

|March 14, 2026

Summary

Forefoot surgery for rheumatoid arthritis significantly reduces foot width but maintains length, improving radiographic alignment. This addresses patient concerns about foot appearance and footwear post-operation.

Keywords:

foot length foot width forefoot surgery rheumatoid arthritis

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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

Published on: March 1, 2024

Area of Science:

Orthopedic Surgery
Rheumatology
Radiology

Background:

Increasing incidence of forefoot arthroplasty in rheumatoid arthritis (RA) patients.
Patient concerns regarding postoperative foot appearance and footwear expectations.
Lack of studies on postoperative foot length and width changes in RA patients.

Purpose of the Study:

To evaluate the impact of surgical procedures for rheumatoid forefoot deformities on radiologically determined foot length and width.
To assess changes in radiographic parameters like hallux valgus angle (HVA) and intermetatarsal angles (IMA).

Main Methods:

Analysis of 72 feet from 53 RA patients (average age 66.7 years) undergoing various forefoot surgeries.
Measurement of pre- and postoperative weightbearing radiographs for foot length, width, HVA, M1M2A, and M1M5A.
Evaluation of correlations between radiographic parameter changes and foot dimension variations.

Main Results:

Significant reduction in radiologically determined foot width (10.1 cm to 9.7 cm, p < 0.01).
No significant change in radiologically determined foot length.
Significant improvements in HVA, M1M2A, and M1M5A (p < 0.01 for all).
Significant correlations found between foot dimension variations and changes in radiographic parameters.

Conclusions:

Surgical intervention for rheumatoid forefoot deformity effectively improves radiographic parameters.
Procedures lead to a reduction in radiographic foot width while preserving foot length.
Findings suggest surgical correction positively impacts foot dimensions and alignment in RA patients.