Journal of the American Podiatric Medical Association, Vol 81, Issue 4 167-173, Copyright © 1991 by American Podiatric Medical Association

JOURNAL ARTICLE

Sesamoidectomy for the treatment of chronic neuropathic ulcerations

JM Giurini, JS Chrzan, GW Gibbons and GM Habershaw
Department of Surgery, Harvard Medical School, New England Deaconess Hospital, Boston.

Neuropathic ulcerations in diabetic patients are frequent causes of hospitalizations and morbidity. The plantar aspect of the first metatarsophalangeal joint is a common location for these ulcerations, because of the significant weightbearing forces generated through this joint and the presence of sensory and motor neuropathy. The authors describe 24 cases in which excision of the tibial sesamoid, fibular sesamoid, or both, was performed to resolve these lesions.

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