RT Journal Article
T1 Predictors of Diabetic Foot Reulceration beneath the Hallux
A1 Molines Barroso, Raúl Juan
A1 Lázaro Martínez, José Luis
A1 Beneit Montesinos, Juan Vicente
A1 Álvaro Afonso, Francisco Javier
A1 García Morales, Esther Alicia
A1 García Álvarez, Yolanda
AB To evaluate the factors that predict reulceration beneath the hallux in people with a history of diabetic foot ulceration. Methods. A prospective study conducted between January 2012 and December 2014 was performed in a diabetic foot unit toassess the risk factors associated with hallux reulceration. Sixty patients with diabetic neuropathy and a history of previous ulcerwere consecutively included. Sociodemographic factors and comorbidities plus the biomechanical and radiographic factors wereobtained. Follow-up on participants was conducted every month, and they wore offloading therapeutic footwear andcustom-made insoles. Hallux reulceration during the follow-up period was assessed as the main outcome measure in the study.Results. Patients were followed up during 29 (14.2-64.4) months. Twenty-nine patients (52%) developed a new ulceration: 9patients (31%) in the hallux and 20 (69%) in other locations. Functional hallux limitus (p = 0 005, 95% CI (2.097–73.128), HR12.384) and increased body mass index (p = 0 044, 95% CI (1.003-1.272), HR 1.129) were associated with the halluxulceration-free survival time in the multivariate Cox model. Conclusions. Obesity and the presence of functional hallux limitusincrease the probability of developing hallux reulceration in patients with diabetic neuropathy and a history of ulcers.
PB Hindawi
YR 2019
FD 2019-01-08
LK https://hdl.handle.net/20.500.14352/124389
UL https://hdl.handle.net/20.500.14352/124389
LA eng
NO Molines-Barroso, R. J., Lázaro-Martínez, J. L., Beneit-Montesinos, J. V., Álvaro-Afonso, F. J., García-Morales, E., García-Álvarez, Y., Predictors of Diabetic Foot Reulceration beneath the Hallux, Journal of Diabetes Research, 2019, 9038171, 7 pages, 2019. https://doi.org/10.1155/2019/9038171
DS Docta Complutense
RD 21 ene 2026