Removal of sesamoids

A 69-year-old man with type 2 diabetes of 22 years' duration and peripheral neuropathy had a history of chronic full-thickness ulceration beneath his left 1st metatarsal head. The ulcer did not probe to bone (Fig. 8.11). Radiographs revealed a hypertrophic tibial sesamoid (Fig. 8.12). Conservative treatment was employed for 4 months with no improvement in his condition. The patient was offered the option of surgical treatment and he consented. In this case, the plantar ulcer was excised and both medial and lateral sesamoids were removed (Fig. 8.13a,b). The wound was packed open and allowed to heal by secondary intention.

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

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