Fifth metatarsal head resection

Weil Osteotomy

This procedure is well suited for older sedentary individuals, and for patients with osteopenia or osteomyelitis of the metatarsal head, where a transpositional osteotomy is not appropriate. Although transfer lesions callus or ulcer have been reported to occur beneath adjacent Fig. 8.15 The Weil lesser metatarsal shortening osteotomy, a The lesser toe is plantarflexed, and the oblique osteotomy cut begins at the distal dorsal edge of the articular cartilage, b Proximal displacement of the...

The Scope Of The Problem

Gangrene From Blister Ankle

Diabetic foot complications are a major global public health problem. Amputation rates vary throughout the world but are always increased in people with diabetes compared to those without diabetes. Amputations are increasing in diabetic patients. Throughout the world, health-care systems, both public and private, have been unsuccessful in managing the overwhelming problems of patients suffering with diabetic foot complications. The results of this failure are shown in the following case...

Scalling Dermatitis Diabetes

Allergic Contact Dermatitis Fot

A 50-year-old female with undiagnosed type 2 diabetes, applied Bazooker, a proprietary wart remedy, to a small brown tender papule over her right third metatarsal head. Within a few days she developed a cutaneous erosion which failed to heal for 9 months and became increasingly painful Fig. 2.13a,b . Diabetes was diagnosed by her Fig. 2.13 a Ulcer following application of a proprietary wart remedy which proved to be a squamous cell carcinoma, b Close-up of lesion. Fig. 2.13 a Ulcer following...

Lesser metatarsal osteotomy

Modifizierter Penis

Dorsiflectory metatarsal osteotomies are performed for the treatment of lesser metatarsalgia, most often for Fig. 8.14 Chronic intractable plantar keratosis beneath the 2nd metatarsal head. The callus has been debrided, revealing preulcerative haemorrhage within the skin. This is an indication for lesser metatarsal osteotomy. Fig. 8.13 Sesamoidectomy. (a) Intraoperative photograph, the ulcer has been excised, (b) The hypertrophic tibial (medial) sesamoid has been grasped with a bone clamp and...