Diabetic Foot Ulcer Over the First Metatarsal Head (Hallux Valgus)
Clinical presentation, surgical treatment and documented healing.
- 01 / Problem
- Clinical presentation
- 02 / Procedure
- Surgical approach
- 03 / Outcome
- Healing & follow-up
Clinical photographs below include wounds and surgical treatment.
01 / CLINICAL PRESENTATION
Problem
An 83-year-old woman presented with an infected diabetic foot ulcer over the first metatarsal head (hallux valgus deformity). This is a particularly challenging location because it is subjected to constant pressure during walking, making durable wound healing difficult and increasing the risk of recurrent ulceration.
02 / SURGICAL APPROACH
Procedure
Radical surgical debridement was performed, removing all infected and non-viable tissue until healthy, bleeding margins were achieved. Careful wound bed preparation and pressure off-loading promoted progressive granulation tissue formation and healing by secondary intention.
03 / HEALING & FOLLOW-UP
Outcome
The wound healed completely within approximately 3 months, with preservation of the foot and restoration of durable soft-tissue coverage. This case demonstrates that even ulcers located over high-pressure weight-bearing areas can heal successfully when meticulous surgical debridement is combined with effective pressure off-loading and specialized wound care.
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