Lin SS, Bono CM, Lee TH, et al.
Foot & ankle international. Date of publication 2000 Jul 1;volume 21(7):588-93.
1. Foot Ankle Int. 2000 Jul;21(7):588-93.
Total contact casting and Keller arthoplasty for diabetic great toe ulceration
under the interphalangeal joint.
Lin SS(1), Bono CM, Lee TH.
Author information:
(1)Department of Orthopaedic Surgery, New Jersey Medical School, UMDNJ-Newark,
07130, USA. linss@umdnj.edu
Interphalangeal (IP) ulcerations of the great toe are frequently encountered in
neuropathic diabetic feet. While total contact casting is usually effective as a
first line treatment, recalcitrant ulcers continue to present substantial
management challenges. The authors retrospectively reviewed the results of Keller
arthroplasty employed to accelerate ulcer resolution with total contact casting
in fourteen patients with neuropathic ulcers under the great toe interphalangeal
(IP) joint that were resistant to casting alone. These data were compared to a
group of similar patients whose ulcers were successfully treated by non-operative
measures. No operative complications were observed, and all ulcers healed within
twenty-four days with no recurrence documented at an average follow-up of 26
weeks. In cases of resistant great toe IP plantar ulcers associated with hallux
rigidus that have failed casting trials, this treatment method can be effective.
PMID: 10919626 [Indexed for MEDLINE]
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