The importance of toe and flow for partial metatarsectomy
Keywords:
diabetic foot, amputation, toe and flow, treatmentAbstract
Introduction: Prolonged diabetes can cause peripheral neuropathy. This reduces foot sensation, leads to ulcerations and peripheral arterial disease, which compromises vascularization and can cause ischemia. The podiatrist is essential for the prevention, diagnosis, and treatment of complications arising from the diabetic foot.
Objectives: To establish the importance of the podiatrist in the management of the diabetic foot.
Case report: We report the case of a 68-year-old man who presented with a neuropathic ulcer on the head of the fifth metatarsal. Due to the failure of conservative treatment, a metatarsectomy of the fifth metatarsal was performed under local anesthesia on an outpatient basis. The case resolved successfully, with complete ulcer closure three months after the procedure.
Conclusions: The current trend of the Toe and Flow Theory validates the importance of proper management of foot disorders by a specialized podiatrist and a vascular surgeon.
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Copyright (c) 2025 Ana María Rayo Pérez, Damaris Buzón Pérez, Fco Javier Rodríguez Castillo
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