Metatarsal osteotomies for treating neuropathic diabetic foot ulcers
Diabetic foot ulcers (DFUs) are usually treated with conservative management based on debridement, topical agents, and nonsurgical off-loading; however, the recurrence rate following such standard care is reported to be high. In the case of recalcitrant or recurrent ulcers, a surgical off-loading te...
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2018
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| Online Access: | http://hdl.handle.net/10725/10976 https://doi.org/10.1177/1938640018819784 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://journals.sagepub.com/doi/full/10.1177/1938640018819784 |
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| _version_ | 1864513487904964608 |
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| author | Yammine, Kaissar |
| author2 | Nahed, Marc |
| author2_role | author |
| author_facet | Yammine, Kaissar Nahed, Marc |
| author_role | author |
| dc.creator.none.fl_str_mv | Yammine, Kaissar Nahed, Marc |
| dc.date.none.fl_str_mv | 2018 2019-07-04T08:31:58Z 2019-07-04T08:31:58Z 2019-07-04 |
| dc.identifier.none.fl_str_mv | 1938-7636 http://hdl.handle.net/10725/10976 https://doi.org/10.1177/1938640018819784 Yammine, K., Nahed, M., & Assi, C. (2018). Metatarsal Osteotomies for Treating Neuropathic Diabetic Foot Ulcers: A Meta-analysis. Foot & ankle specialist, 20(10) http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://journals.sagepub.com/doi/full/10.1177/1938640018819784 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Foot & Ankle Specialist |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers a meta-analysis |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Diabetic foot ulcers (DFUs) are usually treated with conservative management based on debridement, topical agents, and nonsurgical off-loading; however, the recurrence rate following such standard care is reported to be high. In the case of recalcitrant or recurrent ulcers, a surgical off-loading technique such as the metatarsal osteotomy (MO) is indicated. Thus, the aim of this study is to conduct a meta-analysis evaluating the efficacy of MO in treating DFUs. Four relevant studies were identified, including 119 patients with 129 DFUs; all wounds were refractory to a previous conservative treatment of a mean duration of 10.9 ± 4.2 months. With a mean follow-up period of 18.2 ± 5.7 months, the weighted pooled rates were as follows: 98.7% for ulcer healing (in a mean time to heal of 6.5 ± 1.2 weeks), 4.3% for ulcer recurrence, 10.3% for ulcer transfer, 3.7% for infection, and 3.4% for nonunion. These findings were found to be noticeably better than those reported in the literature following standard care, whether associated or not to nonsurgical off-loading methods and that for all the studied outcomes. Knowing the dismal natural history of recalcitrant DFUs treated conservatively, the results of the MO techniques seems to offer a promising alternative in terms of ulcer healing and ulcer complications. In addition to complicated wounds, the indications for MO could include noncomplicated ulcers with healing delay. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_2faf76c058ece456f3f42d4d40d25e20 |
| identifier_str_mv | 1938-7636 Yammine, K., Nahed, M., & Assi, C. (2018). Metatarsal Osteotomies for Treating Neuropathic Diabetic Foot Ulcers: A Meta-analysis. Foot & ankle specialist, 20(10) |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/10976 |
| publishDate | 2018 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Metatarsal osteotomies for treating neuropathic diabetic foot ulcersa meta-analysisYammine, KaissarNahed, MarcDiabetic foot ulcers (DFUs) are usually treated with conservative management based on debridement, topical agents, and nonsurgical off-loading; however, the recurrence rate following such standard care is reported to be high. In the case of recalcitrant or recurrent ulcers, a surgical off-loading technique such as the metatarsal osteotomy (MO) is indicated. Thus, the aim of this study is to conduct a meta-analysis evaluating the efficacy of MO in treating DFUs. Four relevant studies were identified, including 119 patients with 129 DFUs; all wounds were refractory to a previous conservative treatment of a mean duration of 10.9 ± 4.2 months. With a mean follow-up period of 18.2 ± 5.7 months, the weighted pooled rates were as follows: 98.7% for ulcer healing (in a mean time to heal of 6.5 ± 1.2 weeks), 4.3% for ulcer recurrence, 10.3% for ulcer transfer, 3.7% for infection, and 3.4% for nonunion. These findings were found to be noticeably better than those reported in the literature following standard care, whether associated or not to nonsurgical off-loading methods and that for all the studied outcomes. Knowing the dismal natural history of recalcitrant DFUs treated conservatively, the results of the MO techniques seems to offer a promising alternative in terms of ulcer healing and ulcer complications. In addition to complicated wounds, the indications for MO could include noncomplicated ulcers with healing delay.PublishedN/A2019-07-04T08:31:58Z2019-07-04T08:31:58Z20182019-07-04Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1938-7636http://hdl.handle.net/10725/10976https://doi.org/10.1177/1938640018819784Yammine, K., Nahed, M., & Assi, C. (2018). Metatarsal Osteotomies for Treating Neuropathic Diabetic Foot Ulcers: A Meta-analysis. Foot & ankle specialist, 20(10)http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://journals.sagepub.com/doi/full/10.1177/1938640018819784enFoot & Ankle Specialistinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/109762021-03-19T10:45:20Z |
| spellingShingle | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers Yammine, Kaissar |
| status_str | publishedVersion |
| title | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers |
| title_full | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers |
| title_fullStr | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers |
| title_full_unstemmed | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers |
| title_short | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers |
| title_sort | Metatarsal osteotomies for treating neuropathic diabetic foot ulcers |
| url | http://hdl.handle.net/10725/10976 https://doi.org/10.1177/1938640018819784 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://journals.sagepub.com/doi/full/10.1177/1938640018819784 |