2026-07-01T18:31:53Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1243892025-10-02T00:08:41Zcom_20.500.14352_14col_20.500.14352_15

Predictors of Diabetic Foot Reulceration beneath the Hallux Molines Barroso, Raúl Juan Lázaro Martínez, José Luis Beneit Montesinos, Juan Vicente Álvaro Afonso, Francisco Javier García Morales, Esther Alicia García Álvarez, Yolanda 616.718.7/.9 616.379-008.64-056.24 Ciencias Biomédicas Podología 3299 Otras Especialidades Médicas 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. Depto. de Enfermería Fac. de Enfermería, Fisioterapia y Podología TRUE pub 2025-09-30T09:40:00Z 2025-09-30T09:40:00Z 2019-01-08 journal article VoR https://hdl.handle.net/20.500.14352/124389 XXXX-XXXX 10.1155/2019/9038171 eng 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 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ open access application/pdf Hindawi