The Diabetic Cavo-Varus Foot

Description

Mr Donatas Chlebinskas gives his expert insights and discusses the complications associated with diabetic foot, elaborating on how chronic hyperglycemia leads to glycation, which results in the stiffening and shortening of key musculotendinous units, particularly affecting the Achilles, posterior tibial, and peroneal tendons. Such changes contribute to foot deformities like hindfoot varus, high medial arch, and claw toes. The combination of these structural changes and neuropathy elevates the risk of increased plant pressures and subsequent callus formation, significantly raising the likelihood of ulcer development. Emphasizing the importance of proactive management, the text outlines that interventions should focus on early recognition and may involve procedures such as tendon releases, transfers, or osteotomies. A multidisciplinary team approach is crucial to effectively prevent foot ulcers and reduce the risk of amputations.




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DOI: 10.1302/3114-251154

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