A Meta-Analysis of the Outcomes of Metatarsal Head Resection for the Treatment of Neuropathic Diabetic Foot Ulcers

Yammine, Kaissar; Kheir, Nadim; Assi, Chahine

doi:10.1089/wound.2020.1261

Cited by 8 publications

(9 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They also underlined the fact that early removal of the indirect causal agent, the resection of the metatarsal head, after failure of a well-conducted conservative standard of care could be a needed solution for wound healing and consequently a potential for reducing complications and costs. 95 – 98 Furthermore, researchers assessed the evidence behind the use of Telemedicine in treating diabetic foot ulcers since it has been advanced as an effective approach to wound care management during COVID-19 pandemic and showed that it could be a valuable alternative in times where clinic visits are reduced or not possible such as during this COVID-19 pandemic. 99 To add, other neuropathic complications were also described and some studies investigated the role of some vitamins, such as vitamins B and D, in the healing process of neurological consequences.…”

Section: Resultsmentioning

confidence: 99%

Identifying health research in the era of COVID-19: A scoping review

Samah

2023

SAGE Open Medicine

View full text Add to dashboard Cite

Background: Health improvements are considered one of the most important fields of research. Since the coronavirus disease 2019 was declared a pandemic, it might have impacted clinical and public health research in various forms. Objectives: The goal of this study is to explore health research approaches in the era of coronavirus disease 2019. Methods: In this scoping review, we reviewed published medical full-text studies and identified potential areas of interest of health research in the era the coronavirus disease 2019 pandemic during the last 3 years within a higher educational setting. A bibliometric analysis was used to compare among published works. Results: Among the 93 studies that met the inclusion criteria, most focused on mental health ( n = 23; 24.7%). Twenty-one publications targeted coronavirus disease 2019 and its consequences on general health. Other studies have described hemato-oncological, cardiovascular, respiratory, and endocrinological diseases. 42 studies were cross-sectional or cohort studies and most of them published in Q1 journals. Almost half of them belonged to the Faculty of Medicine (49.5%) followed by the School of Arts, Sciences, and Psychology (26.9%). Conclusions: Health research has been demonstrated to be important, at all times, especially during crises. Therefore, researchers need to invest more efforts into seeking new medical updates in various health-related fields, regardless of their correlation with coronavirus disease 2019.

show abstract

Section: Resultsmentioning

confidence: 99%

Identifying health research in the era of COVID-19: A scoping review

Samah

2023

SAGE Open Medicine

View full text Add to dashboard Cite

show abstract

“…Removing these biomechanical factors may reduce pressure and facilitate wound healing. For nerve plantar ulcers with difficult healing, early removal of the metatarsal head may be the key to promoting wound ulcer healing[ 166 ]. Compared with traditional conservative treatment, metatarsal head resection has a higher healing rate and lower infection rate and ulcer recurrence rate[ 167 ].…”

Section: Treatment Of Dfumentioning

confidence: 99%

Diabetic foot ulcer: Challenges and future

Yang¹,

Rong²,

Wu³

2022

World J Diabetes

View full text Add to dashboard Cite

Diabetic foot ulcers (DFUs) have become one of the important causes of mortality and morbidity in patients with diabetes, and they are also a common cause of hospitalization, which places a heavy burden on patients and society. The prevention and treatment of DFUs requires multidisciplinary management. By controlling various risk factors, such as blood glucose levels, blood pressure, lipid levels and smoking cessation, local management of DFUs should be strengthened, such as debridement, dressing, revascularization, stem cell decompression and oxygen therapy. If necessary, systemic anti-infection treatment should be administered. We reviewed the progress in the clinical practice of treating DFUs in recent years, such as revascularization, wound repair, offloading, stem cell transplantation, and anti-infection treatment. We also summarized and prospectively analyzed some new technologies and measurements used in the treatment of DFUs and noted the future challenges and directions for the development of DFU treatments.

show abstract

“…Surgical offloading (internal offloading) is becoming an important tool in managing neuropathic ulcers when conservative treatment fails and has recently been recommended as a first line of treatment in selected cases (including correctable anatomical deformity and adequate blood supply). [14][15][16][17][18][19][20][21] The aim of the operation is to correct the deformity that is causing pressure 22 and, by doing this, decrease the elevated pressure causing the ulcer, promoting healing and preventing recurrence. Surgical offloading requires a clear understanding of the biomechanical problem that caused the ulcer so that this may be corrected.…”

Section: Introductionmentioning

confidence: 99%

“…Understanding the mechanisms causing the ulcers and their classification may help guide surgical treatment. Surgical offloading (internal offloading) is becoming an important tool in managing neuropathic ulcers when conservative treatment fails and has recently been recommended as a first line of treatment in selected cases (including correctable anatomical deformity and adequate blood supply) 14–21 . The aim of the operation is to correct the deformity that is causing pressure 22 and, by doing this, decrease the elevated pressure causing the ulcer, promoting healing and preventing recurrence.…”

Section: Introductionmentioning

confidence: 99%

A Novel Classification for Diabetic Foot Ulcers of the First Ray

Tamir

Rabau

Beer

et al. 2023

Adv Skin Wound Care

View full text Add to dashboard Cite

OBJECTIVEDiabetic foot ulcers of the first ray result from several distinct biomechanical mechanisms related to anatomical deformities, which must be addressed if surgical offloading is contemplated. The objective of this study was to create a classification of the anatomical deformities of first-ray ulcers that could lead to better standardization of treatment and reporting.METHODSThe authors performed a file review of patients with diabetic neuropathy diagnosed with first-ray ulcers over a period of 3 years in an outpatient setting. Anatomical deformities were diagnosed clinically and reported with ulcer location. The primary classification was the metatarsophalangeal joint, the interphalangeal joint, and the distal phalanx.RESULTSRecords for 59 patients (mean age, 62 years) with University of Texas A1 and A2 ulcers were reviewed. Mean ulcer duration was 2 months. The more common deformities were hallux valgus (41%), hallux valgus interphalangeus (14%), and hallux malleus (20%), and these were primarily associated with metatarsophalangeal, interphalangeal joint, and tip-of-toe ulcers, respectively (P < .0001).CONCLUSIONSBy classifying ulcer locations, the relevant corrective surgery may be chosen. Although some prophylactic procedures may be safe and effective, prophylactic hallux valgus correction in the diabetic foot requires further study.

show abstract

A Meta-Analysis of the Outcomes of Metatarsal Head Resection for the Treatment of Neuropathic Diabetic Foot Ulcers

Cited by 8 publications

References 51 publications

Identifying health research in the era of COVID-19: A scoping review

Identifying health research in the era of COVID-19: A scoping review

Diabetic foot ulcer: Challenges and future

A Novel Classification for Diabetic Foot Ulcers of the First Ray

Contact Info

Product

Resources

About