Surgical treatment of breech deformities for the healing of plantar perforating

Abstract

Introduction: Surgical interventions on plantar hyperpressure achieve a redistribution of plantar loads in order to heal neruropathic ulcers.

Objective: To evaluate the effect of outpatient surgical treatment of breech deformity on the healing of plantar perforating disease in the diabetic foot.

Methods: A developing, descriptive and prospective research was conducted with a sample of 157 patients who met the research criteria. The variables studied were age, sex, type of diabetes mellitus, educational level, McCook classification, ulcer evolution interval, breech deformity, ulcer location, triggering factor, previous use of Heberprot-P^®, surgical technique, closing time interval, complications and final outcome. The following methods were used: interview, observation, document analysis, and absolute and relative frequencies.

Results: There was a predominance of the male sex, the age group between 40 and 49 years, the basic secondary school educational level, type 2 diabetes, the foot deformities, the plantar location of the ulcer and the time interval between 6-12 months. The main trigger was inadequate footwear. The most commonly used surgical technique was osteotomy of the II and III metatarsals. The healing prevailed between 7-14 days. In patients treated with Heberprot-P^®, healing occurred between 7 and 10 days.

Conclusions: Outpatient surgical treatment of breech deformities is effective for the healing of diabetic plantar perforating disease.