Molines Barroso, Raúl JuanLázaro Martínez, José LuisBeneit Montesinos, Juan VicenteÁlvaro Afonso, Francisco JavierGarcía Morales, Esther AliciaGarcía Álvarez, Yolanda2025-09-302025-09-302019-01-08Molines-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/10.1155/2019/903817110.1155/2019/9038171https://hdl.handle.net/20.500.14352/124389To 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.engAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/journal articlehttps://doi.org/10.1155/2019/9038171open access616.718.7/.9616.379-008.64-056.24Ciencias BiomédicasPodología3299 Otras Especialidades Médicas