Comparative Study Between Surgical Offloading and Mechanical Offloading in the Treatment of Chronic Plantar Foot Ulcers in Diabetic Patients

Document Type : Original Article

Authors

Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446515

Abstract

Background: One of the leading causes of mortality, diabetes mellitus (DM) impacts every part of the body. Both individuals and society bear the brunt of the pain and expense associated with foot disorders. Among the most common health issues, foot ulcers occur at a rate of 2-4% each year in industrialized nations and probably much higher in underdeveloped nations. Peripheral sensory neuropathy, foot abnormalities, and peripheral artery disease are the primary causes of foot ulcers.
Aim and objectives: To evaluate the relative safety and effectiveness of surgical and mechanical unloading techniques for the treatment of diabetic foot patients suffering from chronic plantar ulcers.
Patients and methods: Fifty diabetic patients with chronic plantar ulcers who visited the outpatient clinics of the vascular surgery departments at Al-Azhar University hospitals (AL-Hussein and Said Galal Hospitals) and El-Mabarah Hospital between January 2023 and January 2024 were the subjects of this prospective, non-randomized comparative study.
Results: The purpose of comparing the efficacy of surgical and non-surgical unloading techniques for the management of neuropathic plantar pressure ulcers is to determine .
Conclusion: In order to treat pressure chronic unhealed plantar ulcers, offloading is crucial and works wonders. A personalized approach to unloading ought to be provided to each patient. A more efficient method is surgical unloading.

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