University of Khartoum

Hallux Ulceration in Diabetic Patients

Hallux Ulceration in Diabetic Patients

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dc.contributor.author Mahadi, Seifeldin Ibrahim
dc.date 2016
dc.date.accessioned 2016-05-18T12:00:08Z
dc.date.available 2016-05-18T12:00:08Z
dc.date.submitted 2010
dc.identifier.uri http://khartoumspace.uofk.edu/123456789/21414
dc.description.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. Complete healing occurred in 103 (85%) of diabetic patients with a hallux ulcer. Vascular intervention is important relative to limb salvage when ischemia is the main cause of the ulcer. 2010 by the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved en_US
dc.publisher University of Khartoum en_US
dc.subject amputation diabetes mellitus foot ischemia neuropathy wound en_US
dc.title Hallux Ulceration in Diabetic Patients en_US
dc.type Publication en_US
dc.Faculty Medicine en_US

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