Department of Surgery, Oncology and Gastroenterology DiSCOG, Orthopedic and Traumatologic Clinic, University of Padova, Via Giustiniani 2, Padova 35128, Italy; GRECMIP-MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Merignac, France.
Department of Surgery, Oncology and Gastroenterology DiSCOG, Orthopedic and Traumatologic Clinic, University of Padova, Via Giustiniani 2, Padova 35128, Italy.
Foot Ankle Clin. 2020 Sep;25(3):441-460. doi: 10.1016/j.fcl.2020.05.006. Epub 2020 Jul 9.
Minimally invasive distal metatarsal diaphyseal osteotomy (DMDO) is an effective procedure for the treatment of complicated chronic diabetic foot ulcers under the heads of all lateral metatarsal bones (including the fifth). Resistant toe ulcers and recurrent pressure ulcers can be treated effectively by DMDO. For diabetic patients, the main advantages of this method are minimal surgical scars and tissue damage, immediately postoperative weight bearing, absence of osteosynthesis and consequent potential infection of metal fixation, reduction of the previous high plantar pressures by the restoration of a harmonic balanced forefoot arch, and rapid ulcer healing.
微创远端跖骨干骺端截骨术（DMDO）是治疗所有外侧跖骨（包括第五跖骨）头部的复杂慢性糖尿病足溃疡的有效方法。DMDO 可有效治疗难治性脚趾溃疡和复发性压疮。对于糖尿病患者，这种方法的主要优点是手术疤痕和组织损伤极小，术后即可负重，无需进行接骨术，从而避免了金属固定物潜在的感染，通过恢复和谐平衡的前足弓来降低先前的高足底压力，以及溃疡的快速愈合。
