A slightly brighter future awaits diabetics in the US as a recent study highlights the feasibility of resection arthroplasty as a possible alternative to amputation for patients with neuropathic ulceration of the big toe joint or first metatarsophalangeal (MTP). Diabetes is the leading cause of non-accident-injury leg and feet amputations that number about 60,000 annually in the US.
The study published in the journal Foot & Ankle International (FAI) of the American Orthopaedic Foot & Ankle Society (AOFAS) examined post-operatively 16 patients with first MTP ulceration who underwent resection arthroplasty with external fixation.
Aside from patients’ satisfaction with the surgery outcomes, the study noted that 10 out of the 16 remained ulcer-free at the study’s conclusion eight years after the operations, while the remaining six required a second procedure that includes amputation.
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