Volume 1

Number 2 July 2017

Ostectomy for Diabetic Neuro-Ischaemic Foot Ulcer Involving under Prominent Distal Part of the First Metatarsal

DOI: https://doi.org/10.70357/jdamc.2017.v0102.10

Gaddafi A L1 , Faruque G2 , Islam Z3 , Rahman MA4 , Jui FN5

Abstract

Diabetic neuro-ischaemic foot ulcer, a devastating complication of uncontrolled diabetes mellitus. Patient named Mr. HasanMridha, 65 years old hypertensive, diabetic got admitted in Diabetic Association Medical College & Hospital at orthopedicunit on 31.01.18 with the complaints of ulceration under prominent first metatarsal head and distal phalanx for 2 months. Thispatient had features of peripheral neuropathy. On special examination, ankle-brachial pressure index was 0.64. Biothesiometerand monofilament test were positive. As the patient was in elderly aged, so ostectomy and excision of the distal phalanx withprimary repair were done under ankle block. No such case has reported previously in our country. So it deemed necessary toreport the case. Post-operative outcome was satisfactory.

Keywords: Ostectomy, Diabetic neuro-ischaemic foot ulcer


  1. Assistant Professor, Department of Orthopedics

    Diabetic Association Medical College, Faridpur

  2. Associate professor, Department of Orthopedics

    Jessore Medical College, Jessore

  3. Assistant professor, Department of Orthopedics

    Jessore Medical College, Jessore

  4. MD Resident, Department of Physical Medicine & Rehabilitation

    Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka

  5. Lecturer, Department of Community Medicine

    Diabetic Association Medical College, Faridpur

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Volume 1, Number 2 July 2017
Page: 41-43