ArticleMedical journal of the Islamic Republic of Iran2025
Comparing Clinical Outcomes after Toe Amputation and Toe-Sparing Surgery in Patients with Diabetic Foot Ulcer.
Article in Medical journal of the Islamic Republic of Iran, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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 ( Conclusion: The re-ulceration rate was lower after toe amputation, and the infection rate was higher in the toe amputation group.
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