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Mini-Invasive floating metatarsal osteotomy for resistant or recurrent neuropathic plantar metatarsal head ulcers

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, July 2016
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Title
Mini-Invasive floating metatarsal osteotomy for resistant or recurrent neuropathic plantar metatarsal head ulcers
Published in
Journal of Orthopaedic Surgery and Research, July 2016
DOI 10.1186/s13018-016-0414-x
Pubmed ID
Authors

Eran Tamir, Aharon S. Finestone, Erez Avisar, Gabriel Agar

Abstract

Patients with peripheral neuropathy and pressure under a relatively plantar deviated metatarsal head frequently develop plantar foot ulcers. When conservative management with orthotics and shoes does not cure the ulcer, surgical metatarsal osteotomy may be indicated to relieve the pressure and enable the ulcer to heal. The purpose of this study is to evaluate the use of a mini-invasive floating metatarsal osteotomy in treating recalcitrant ulcers or recurrent ulcers plantar to the metatarsal heads in patients with diabetes mellitus (DM) related neuropathy. Computerized medical files of patients with diabetic neuropathy treated with an osteotomy during 2013 and 2014 were retrospectively reviewed. There were 20 osteotomies performed on 17 patients (mean age 58 years). The patients had a diagnosis of DM for a mean of 17 years. All ulcers were University of Texas grade 1A; mean ulcer age was 19 months. After 17/20 operations, the ulcer completely resolved after 6 weeks and did not recur after a mean follow-up of 11.5 months. One patient developed an early post-operative infection with osteomyelitis at the osteotomy site (proximal shaft of the fifth metatarsal) that needed debridement and IV antibiotics. In the other 19 cases, the surgical wound healed within 1 week. Asymptomatic radiological non-union developed in six cases (30 %). Mini-invasive floating metatarsal osteotomy can cure resistant and recurrent University of Texas grade 1A ulcerations plantar to the metatarsal heads in neuropathic patients.

Mendeley readers

The data shown below were compiled from readership statistics for 51 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 2%
Unknown 50 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 14%
Student > Bachelor 7 14%
Student > Postgraduate 5 10%
Other 4 8%
Researcher 3 6%
Other 14 27%
Unknown 11 22%
Readers by discipline Count As %
Medicine and Dentistry 26 51%
Nursing and Health Professions 10 20%
Social Sciences 2 4%
Psychology 1 2%
Design 1 2%
Other 0 0%
Unknown 11 22%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 July 2016.
All research outputs
#7,011,368
of 8,098,931 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#396
of 452 outputs
Outputs of similar age
#218,053
of 257,691 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#29
of 29 outputs
Altmetric has tracked 8,098,931 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 452 research outputs from this source. They receive a mean Attention Score of 2.1. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.