Clinical course |
Nonoperative treatment, resolved | 55 (70) |
Nonoperative treatment and surgery | 20 (26) |
Nonoperative treatment, lost to follow-up | 3 (4) |
Nonoperative treatmentद |
Total contact cast | 60 (77) |
Removable walker brace | 17 (22) |
CROW | 1 (1) |
Duration of nonoperative treatment, mo, mean ± SD** |
Until resolution |
All feet (55 feet) | 6 ± 5 |
Total contact cast (40 feet) | 5 ± 3 |
Removable walker brace (15 feet) | 8 ± 7 |
Until surgery |
All surgery including amputation (20 feet) | 5 ± 5 |
Amputation (6 feet) | 3 ± 2 |
Complications during nonoperative treatment |
Superficial skin irritation | 5 (6) |
Noninfected ulcer | 5 (6) |
Infected ulcer | 5 (6) |
None | 63 (81) |
Outcome of ulcers present at initial evaluation (23 feet) |
Resolved with nonoperative treatment†† | 17 (74) |
Required surgery | 4 (17) |
Lost to follow-up | 2 (9) |
Surgery |
Indications for surgery |
Infection | 11 (14) |
Deformity causing recurrent ulcer | 9 (12) |
Procedures |
Exostectomy alone | 8 (10) |
Exostectomy with irrigation and débridement | 5 (6) |
Lower limb amputation | 6 (8) |
Arthrodesis | 1 (1) |
Total | 20 (26) |