Metatarsal Osteotomy versus Metatarsal Head Resection for Distal Diabetic Foot Ulcers.

Background: We compared the effectiveness of metatarsal osteotomy, specifically using the osteoclasis (OC) technique, with that of metatarsal head resection (MHR) in healing distal metatarsal plantar ulcers.

Methods: This retrospective study reviewed patients who underwent OC or MHR for the treatment of submetatarsal ulcers between January 1, 2014, and December 31, 2017. Patients with infected ulcers or osteomyelitis were excluded.

Charcot neuroarthropathy versus osteomyelitis: a case series.

Introduction: Patients with diabetes and peripheral neuropathy have a 25% risk of developing a foot ulcer, and these can lead to soft tissue infections that worsen and result in osteomyelitis. While Charcot neuroarthropathy is not as common as osteomyelitis, it is often misdiagnosed as osteomyelitis.

Case Reports: Three patients presented with diabetes, neuropathy, and foot ulcers.

Using living skin equivalents for diabetic foot ulceration.

Diabetic foot ulcers are a major clinical challenge with enormous socioeconomic consequence. All advances in the understanding and management of this problem are eagerly received by wound specialists. The development of bioengineered skin--living skin equivalent--is an interesting event that could be significant in the management of lower extremity wounds such as the diabetic foot ulcer.

A randomized, controlled trial of Promogran (a collagen/oxidized regenerated cellulose dressing) vs standard treatment in the management of diabetic foot ulcers.

Hypothesis: Promogran, a wound dressing consisting of collagen and oxidized regenerated cellulose, is more effective that standard care in treating chronic diabetic plantar ulcers.

Design: Randomized, prospective, controlled multicenter trial.

Setting: University teaching hospitals and primary care centers.

A prospective, randomized, controlled double-blind study of a moisturizer for xerosis of the feet in patients with diabetes.

Xerosis is frequently noted in the feet of people with diabetes. The presence of xerosis increases the risk of complications, including infection and ulceration, making it imperative to counteract its effects. A prospective, randomized, controlled double-blind study was conducted to compare the efficacy of a test moisturizer containing 10% urea and 4% lactic acid versus its emulsion base vehicle in the treatment of xerosis of the feet in patients with diabetes.