Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
Online Publication Date:
Apr 1990

Review of metatarsal osteotomies for the treatment of neuropathic ulcerations

TH Tillo Department of Surgery, Harvard Medical School, Boston, MA.

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JM Giurini Department of Surgery, Harvard Medical School, Boston, MA.

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GM Habershaw Department of Surgery, Harvard Medical School, Boston, MA.

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JS Chrzan Department of Surgery, Harvard Medical School, Boston, MA.

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JL Rowbotham Department of Surgery, Harvard Medical School, Boston, MA.

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DOI:
https://doi.org/10.7547/87507315-80-4-211
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The records of 52 patients who underwent metatarsal osteotomies for the treatment of chronic neuropathic ulcerations between the years 1983 and 1985 were analyzed in a retrospective study. Long-term follow-up information was available for all but three patients. All patients were conservatively managed preoperatively and postoperatively with shoes, accommodative orthoses, and local care. A limb salvage rate of 94%, 46 of 49 patients, was achieved in this study. Although 13 patients developed transfer ulcerations, all but one were managed either with conservative care or a lesser podiatric procedure, and all remain healed to date.

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