Abstract

ESTEVEZ PERERA, Abel et al. Identification of foot deformities in diabetes mellitus patients, a strategy to prevent amputation. Rev Cubana Endocrinol [online]. 2013, vol.24, n.3, pp. 297-313. ISSN 1561-2953.

Introduction: early detection of risk factors associated to the occurrence of ulcers in diabetes mellitus patients is essential to prevent future amputations. This paper was aimed at presenting the impact of foot deformities in diabetes mellitus patients with rehabilitating approach. Development: among the main risk factors for diabetic foot are peripheral polyneuropathy and peripheral arterial disease. Foot deformities are more frequent in the diabetic population and associated to higher risk of ulceration and amputation if they are not detected and adequately treated at earlier phases. There is a transfer of discharge to anomalous areas with high plantar pressures in these persons, which, together with thinning of the foot fat pad, lead to the formation of hyperkeratosity and basis for future ulcer. Comprehensive rehabilitation services at the community are an important setting for the detection and treatment of these deformities and for the prevention of the development of these dangerous ulcers due to diabetic foot. The advantages of the rehabilitation are barely known; however, they offer an integrated alternative with preventive and alternative interventions. Conclusions: foot deformities are risk factors for ulcers and amputation in diabetes mellitus patients. Integrated rehabilitation of these foot deformities may significantly reduce the incidence of ulcers in and amputation of the lower limbs.

Keywords : foot deformities; diabetic foot; hallus valgus; hallus rigidus; hammer toe; claw; toe; maze foot; cavus foot; flat foot; ankle equines foot; rehabilitation; diabetes mellitus.

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