Hallux ulceration in diabetic patients

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Mohamed ElMakki AhmedMohamed A Shawer

Abstract

We undertook a prospective cohort study to assess risk factors associated with hallux ulceration, and to determine the incidence of healing or amputation, in consecutive patients with diabetes mellitus who were treated over the observation period extending from September 2004 to March 2005, at the Jabir Abu Eliz Diabetic Centre, Khartoum City, Sudan. There were 122 diabetic patients in the cohort (92 males and 30 females) with an overall mean age of 58 +/- 9 years. Fifty-three percent of patients had complete healing within 8 weeks and 43% healed within 20 weeks. The overall mean time to healing was 16 +/- 8 weeks. In 32 (26.2%) patients, osteomyelitic bone was removed, leaving a healed and boneless hallux. The hallux was amputated in 17 (13.9%) patients; in 2 (1.6%) patients it was followed by forefoot amputation and in 7 (5.7%) patients by below-the-knee amputation. In 90 (73.8%) patients the initial lesion was a blister. In conclusion, hallux ulceration is common in patients with diabetes mellitus and is usually preceded by a blister. Neuropathy, foot deformity, and wearing new shoes are common causative factors; and ischemia, osteomyelitis, any form of wound infection, and the size of the ulcer are main outcome determinants...Continue Reading

Associated Clinical Trials

Apr 16, 2019·Ana María Pérez Pico

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Citations

Oct 11, 2012·Diabetic Foot & Ankle·Abubakr H WidatallaMohamed Elmakki Ahmed
Apr 2, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Sara L Borkosky, Thomas S Roukis
Aug 4, 2016·Frontiers in Bioengineering and Biotechnology·Chi-Wen LungYih-Kuen Jan
Feb 16, 2013·Foot & Ankle International·Ezio FagliaFrancesco Somalvico
Mar 27, 2015·Foot & Ankle International·Eran TamirAharon S Finestone
Jul 15, 2011·São Paulo Medical Journal = Revista Paulista De Medicina·Anacássia Fonseca LimaEulália Camelo Pessoa Azevedo Ximenes
Nov 9, 2016·Journal of Wound Care·M E AhmedS I Mahadi
May 30, 2019·International Journal of Environmental Research and Public Health·Ana Mª Pérez PicoRaquel Mayordomo Acevedo
Feb 8, 2019·Journal of Diabetes Research·R J Molines-BarrosoY García-Álvarez
Nov 29, 2020·International Journal of Nursing Studies·Ma'en Zaid Abu-QamarLisa Whitehead
Dec 31, 2019·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jonathan LeeDaniel B Logan

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