first metatarsal ulcer and treatment

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pre op wound

pre op wound

dorsi flexion max

Left foot impending wound


shave osteotomy of !st MP joint

55 year old diabetic who had this ulcer for 3 years come treatment . Assesment showed tight TA tendon with restricted dorsiflexion on both limbs. plan was made to do
1) bilateral TA release
2)Shave osteotomy of first Metatarsal
3)Rotational flap and skin grafting
4)Tarsal tunnel release

Left foot wound healed with TA release only, Right side have a infective episode which settled with VAC therapy . Patient had second surgery which settled the wound.




Dr Adhishwar Sharma
MB,BS ,MS (Gen Surg) PGIMER
Mch Plastic Surgery
Fellowship in microvascular and hand surgery
8860650846 ,adhishwar7@gmail.com
 brahmanandclinic.com



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