Diabetic neuropathic forefoot and heel ulcers: management, clinical presentation and outcomes

Journal of Wound Care
M K YosufM E Ahmed

Abstract

The two most common sites for diabetic neuropathic foot ulcers are the forefoot and the heel. Each site has special characteristics that determines its course. The aim of this study is to compare clinical presentation, management and outcome of diabetic neuropathic forefoot ulcers to diabetic neuropathic heel ulcers. This was a prospective cross-sectional comparative study carried in Jabir Abu Eliz Diabetic Centre (JADC), Khartoum, Sudan. A hundred patients with neuropathic diabetic ulcer were included, half were forefoot ulcers and the other half were hindfoot ulcers, two patients were lost on follow-up from each group. Neuropathy was graded using 10g monofilament nylon. Patients with vascular ischaemia, ankle brachial index pressure (ABPI) <0.9 and >1.1 were excluded. Other patient's data included demographic, foot and ulcer characteristics, comorbidities and outcomes. Foot ulcers were categorised according to Wagner classification, site and size of ulcer and presence of infection. Comorbidities evaluated included hypertension, ischaemic heart disease and renal impairment. All patients received standard wound care and regular follow-up. The age of the studied patients was 54.3 ± 11 years (mean ± standard deviation (SD 11)) an...Continue Reading

References

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Citations

Oct 21, 2016·Journal of the American Podiatric Medical Association·Barry I Rosenblum
Jan 7, 2016·Acta Cirúrgica Brasileira·Maura Cristina Porto FeitosaEmília Ângela Loschiavo Arisawa
Feb 13, 2018·International Wound Journal·Rachel Khoo, Shirley Jansen
Nov 19, 2019·Advances in Wound Care·Kyung-Chul MoonEun-Sang Dhong

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statistical package for social sciences ( SPSS

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