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Minimally Invasive Fifth Metatarsal Osteotomy and Bunionette Removal for Recurrent Diabetic Foot Ulcers: A Case Series.


ABSTRACT:

Background

Diabetic forefoot ulcers often result from increased pressure on bony prominences, neuropathy, and poor limb perfusion. The management of these ulcers, particularly when infected, is challenging and can often lead to minor or even major amputation. This study aims to evaluate the efficacy and safety of minimally invasive surgical offloading of recurrent diabetic ulcers of the fifth metatarsal by minimally invasive fifth metatarsal osteotomy and bunionette removal.

Methods

A retrospective case series study was conducted of patients who underwent surgical treatment for diabetic foot ulcers on the lateral or plantar side of the fifth metatarsal head between January 2020 and May 2025. Outcomes included time to healing of the primary ulcer and surgical wound, ulcer rec

SUBMITTER: Haloui B 

PROVIDER: S-EPMC12547117 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature