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ARTICLE |

CONSERVATIVE AND PROPHYLACTIC SURGICAL MANAGEMENT OF FOOT LESIONS IN THE DIABETIC

James W. Miller, M.D.
JAMA. 1952;150(9):850-851. doi:10.1001/jama.1952.03680090014006.
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The number of persons with diabetes seen in the Mason Clinic has gradually increased throughout the years.1 At the same time, the number of major amputations performed on these patients has steadily decreased. The lowering of the incidence of major amputation has been brought about by better management of the diabetes, instruction of the diabetic patient in care of the feet, and early control of infectious lesions by the use of chemotherapy and antibiotics, adequate drainage, and amputation of digits when necessary.2 Prophylactic surgery on the static deformities has also played an important role in the lowered morbidity.

It is the purpose of this paper to point out a few of the lesions of the feet in the diabetic patient in whom minor surgery is indicated. The management of these lesions will be discussed briefly. The proper handling of the concomitant diabetes is assumed, being of extreme importance.

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