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Outpatient Care and Morbidity Reduction in Diabetic Foot Ulcers Associated with Chronic Pressure Callus

Ronald A. Sage, DPM^*, Julie Kate Webster, DPM and Susan Gross Fisher, PhD

^* Professor, Department of Orthopaedic Surgery and Rehabilitation, Loyola University Stritch School of Medicine, 2160 S First Ave, Maywood, IL 60153.
Submitted during fourth year, William M. Scholl College of Podiatric Medicine, Chicago, IL.
Assistant Professor of Epidemiology and Biostatistics, Loyola University Stritch School of Medicine, Maywood, IL.

Abstract

In a retrospective review of 233 cases of diabetic foot ulceration preceded by minor trauma, 192 ulcerations exhibited focal pressure keratosis as the preceding traumatic event. The frequency of outpatient visits and other foot care interventions were correlated with the occurrence and severity of ulceration. Patients seen more frequently in an outpatient foot clinic had less severe ulcers and were less likely to undergo surgical treatment than those with less frequent visits. (J Am Podiatr Med Assoc 91(6): 275-279, 2001)

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