Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Percutaneous-MIS
Percutaneous Surgery for a Diabetic Neuropathic Ulcer
A two-year non-healing diabetic ulcer resolved through a burr-assisted percutaneous metatarsal osteotomy — offloading the pressure point without a large incision.
Patient Age
Adult
MECHANISM
Diabetic neuropathy
PRESENTATION
Non-Healing Ulcer of 2 Years
APPROACH
Burr-Assisted First Metatarsal Osteotomy
01
Clinical Rationale
In a neuropathic foot, large incisions invite the very complications you are trying to avoid. A percutaneous osteotomy at the first metatarsal base offloaded the pressure point driving the ulcer, allowing a wound of two years to finally close.
02
Surgical Approach
A burr-assisted dorsal closed-wedge osteotomy at the base of the first metatarsal was performed percutaneously to offload the pressure point, with the osteotomy closed to correct the deformity — all through minimal exposure.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
In a diabetic neuropathic patient, big incisions and exposures must be avoided — the burr helps.
#2
Deformity correction is made far easier with a percutaneous approach.
#3
Exostosis can also be shaved with percutaneous surgery in the same sitting.
#4
Offloading the pressure point allows a chronic neuropathic ulcer to finally heal.
04
Clinical Care Points
RIGHT SIDE
- i) Burr-assisted dorsal closed-wedge osteotomy
ii) Base of first metatarsal
iii) Offloading of pressure point
iv) Percutaneous closure of osteotomy
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Percutaneous Surgery for a Diabetic Neuropathic Ulcer
A two-year non-healing diabetic ulcer resolved through a burr-assisted percutaneous metatarsal osteotomy — offloading the pressure point without a large incision.
A patient with diabetic neuropathy had a plantar ulcer beneath the first metatarsal head that had failed to heal for two years. Loss of protective sensation allowed repetitive pressure to continue through the same area with every step. Instead of repeatedly dressing the wound alone, treatment focused on removing the mechanical pressure responsible for keeping it open.
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