Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Diabetic ulceration leads to amputation in up to 85% of cases. Managing a diabetic ulcer requires an expert team to prevent wound progression and apply proper supportive procedures, decreasing the risk of amputation. This study aimed to compare the clinical efficacy of toe-sparing surgery and toe amputation in patients with diabetic foot ulcers.
Methods: This cohort evaluated 54 consecutive patients with Diabetes Mellitus and chronic ulcers in the lower extremities. The patients were treated by bone resection with preserving toe and soft tissue or complete toe amputation. They were followed up for one year. We evaluated the relative risk for re-ulceration of the same toe, ulcers in other parts, increased levels of hemoglobin A1c (HbA1c), and infection between the two groups.
Results: The re-ulceration rate at the same toe was 12.9% in the toe amputation and 39.1% in the toe-sparing group ( < 0.001). The prevalence of other amputations in the toe amputation and toe-sparing surgery groups was 29.0% and 17.4%, respectively ( < 0.001). However, the infection rate was lower in the toe-sparing group ( < 0.001).
Conclusion: The re-ulceration rate was lower after toe amputation, and the infection rate was higher in the toe amputation group.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138757 | PMC |
| http://dx.doi.org/10.47176/mjiri.39.32 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Retrospective analysis of the clinical effect of spinal cord stimulation in the treatment of painful diabetic peripheral neuropathy.
Front Neurol
August 2025
Department of Neurosurgery, Xingtai Ninth Hospital, Xingtai, China.
Introduction: The aim of this study was to evaluate the clinical outcomes of spinal cord stimulation (SCS) in patients with painful diabetic peripheral neuropathy (PDPN).
Materials And Methods: Ninety-two patients underwent permanent SCS implantation and completed a 6-month post-operative follow-up. The primary endpoint was patient amputation rate, and secondary endpoints included Quality of Life (QOL LC V2.
Sequential treatment for diabetic foot ulcers in aortic dissection patients: a case report.
Front Endocrinol (Lausanne)
September 2025
Department of Orthopedics, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Diabetic foot ulcers (DFUs) represent a prevalent complication of diabetes, with a lifetime risk ranging from 15% to 25% among diabetic patients. Research indicates that anticoagulation plays a crucial role in the management of newly diagnosed cases of diabetic lower extremity atherosclerotic obliterative disease. However, in the present case, the patient developed dry gangrene in both toes after receiving vasodilator drugs during an emergency intervention for sudden aortic dissection.
View Article and Find Full Text PDFTransmetatarsal amputation versus multiple toes amputations for non-ischemic diabetic foot infection management.
Surgeon
September 2025
Department of Vascular and Endovascular Surgery, Waterford University Hospital, Waterford, Ireland; University College Cork, Ireland; Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Electronic address:
Background: The management of diabetic foot infections (DFIs) is a complex multidisciplinary process and often necessitates surgical interventions. Unfortunately, amputations such as single or multiple toes amputations (MTA) or full transmetatarsal amputation (TMA) are often the unavoidable solution. This study aimed to compare the clinical outcomes of TMA versus MTA in managing non-ischemic diabetic foot infections.
View Article and Find Full Text PDFPOSTTRAUMATIC SUBUNGUAL ACRAL NODULAR MELANOMA WITH BONE INFILTRATION TREATED VIA AMPUTATION OF THE DISTAL AND MIDDLE PHALANX: DESCRIPTION OF A CASE AND UPDATE ON THE TOPIC.
Georgian Med News
June 2025
1Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Acral lentiginous melanoma (ALM) is a rare type of cutaneous malignant melanoma, predominantly affecting the acral sites and subungual regions of the upper and lower extremities. Unlike other melanoma types, UV exposure is not considered as significant etiological factor. Instead, mechanical stress, particularly traumatic injury, is recognized as a potential contributor to ALM development, especially in weight-bearing areas such as the sole.
View Article and Find Full Text PDFClitoral hair tourniquet in a 5-year-old: A case report and review of the literature.
Int J Surg Case Rep
August 2025
Department of Urology, CHI Robert Ballanger, Aulnay-Sous-Bois, Paris, France; Paris Cité University, Paris, France.
Introduction: Hair-thread tourniquet syndrome (HTTS) is an uncommon yet potentially serious condition where strands of hair or thread constrict an appendage, leading to pain, swelling, and possible ischemia. Although more commonly observed in digits, it can occasionally affect external genitalia, particularly in the pediatric population, where involvement of structures such as the clitoris or labia is especially rare.
Case Presentation: We present a rare case of hair-thread tourniquet syndrome involving the clitoris in a 5-year-old girl.