Vučetić Č1,2, Borović S4, Delić J3, Jeremić J2,5, Tulić G1,2, Manojlović R1,2, Ukropina B1, Karović B1, Carević Z1 1Clinic for Orthopaedic Surgery and Traumatology, Clinical Centre of Serbia, Belgrade, Serbia 2Faculty of Medicine, University of Belgrade, Serbia 3City Institute for Skin and Venreal Diseases. Belgrade, Serbia 4Institute for Cardiovascular Diseases 'Dedinje’ Belgrade, Serbia 5Clinic for Plastic Surgery, Clinical Centre of Serbia, Belgrade, Serbia

1. CORRECTIVE TREATMENT OF DEFORMITIES
IN DIABETIC FOOT PATIENTS
Vučetić Č1,2, Borović S4, Delić J3, Jeremić J2,5, Tulić G1,2, Manojlović R1,2,
Ukropina B1, Karović B1, Carević Z1
1Clinic for Orthopaedic Surgery and Traumatology, Clinical Centre of Serbia, Belgrade, Serbia
2Faculty of Medicine, University of Belgrade, Serbia
3City Institute for Skin and Venreal Diseases. Belgrade, Serbia
4Institute for Cardiovascular Diseases 'Dedinje’ Belgrade, Serbia
5Clinic for Plastic Surgery, Clinical Centre of Serbia, Belgrade, Serbia
EWMA 2013. maj 15-17, Copenhagen
Electronic poster EP 468 Diabetic foot
mail: cedomir .vucetic@gmail.com

2. Introduction:
• Foot deformities are often suitable for ulcer appearance at
diabetic foot (DF) and this is the reason why corrective treatment
of foot deformities has great importance in ulcer prevention and
also in ulcer healing.
• Corrective treatment can be: - non operative and
- surgical.
• Non operative treatment can be useful at:
- starting stages of foot deformities and
- also has great adventages at neuropathic joint (Scharcot).
• Surgical treatment is needed in cases of obvious changes on the
frontal part of the foot.
EWMA 2013. maj 15-17, Copenhagen. E poster EP 468 Diabetic foot

3. Aim:
This work is a review of surgical treatment of
foot deformities in diabetes
EWMA 2013. maj 15-17, Copenhagen. E poster EP 468 Diabetic foot
Ulceration dig. II Displacement art. PIP Resection art . 3 weeks after oper.

4. Method:
Diabetic patients with deformities on the frontal part of the foot, with or without foot
ulcers, were treated operatively.
The patients were selected: - by clinical examination and
- by radiographical examination for operative treatment.
Contraindications for deformity treatment are :
- circulation insufficiency
- infections and
- gangrena.
EWMA 2013. maj 15-17, Copenhagen. E poster EP 468 Diabetic foot
Digitus flexus dig.II and ulceration post resectio art PIP and fixatio

5. Results:
• 26 patients with 27 deformities were treated
operatively. There were claw toe (6), hammer toe (6),
unguis incarnatus (4), digitus supraductus (2),
subluxatio art.IF (6), bunioneta (3).
• There were no infections postoperatively and the
operative wound was healed in 12 days average (7-20).
• Deformity correction was achieved and there was an
aesthetic and functional improvement.
• The healing of ulceration related to deformity, applied
without surgical treatment of deformity itself, can
reach only the partial success.
EWMA 2013. maj 15-17, Copenhagen

6. Woman 34 year. Deformatio pedis. Op. Resection MT III reposition and fixation
Pre op.
Displacement MTP III
Post op.
Post op.
6 week
post op.

7. Conclusion:
• In cases of obvious deformities, with or without
ulceration on the frontal part of the foot,
operative treatment is recommended and good
results are expected.
EWMA 2013. maj 15-17, Copenhagen
3 years of ulceration Post op. exciso, fixatio 1 week post op.