Abstract
The diabetic foot consumes a large number of resources and has a profound negative
impact on quality of life, representing the major non-traumatic cause of lower limb
amputation in adults. The present report describes a diabetic patient with a recurrent
plantar ulcer in the topography of the heads of the second, third, and fourth metatarsals.
The patient was treated using the distal metatarsal diaphyseal osteotomy (DMDO) technique
in these bones, an Akin-type percutaneous osteotomy in the proximal phalanx of the
hallux, and debridement. The 5-year postoperative follow-up revealed good outcomes
regarding healing and prevention of new episodes.
Keywords
diabetes mellitus - diabetic foot - foot deformities - foot ulcer - osteotomy - surgical
procedures, operative
