Panmetatarsal head resection in chronic neuropathic ulceration

J Foot Surg. 1987 May-Jun;26(3):249-52.


Jacobs (1) reported use of the Clayton modification of the Hoffman procedure on 12 patients as the procedure of choice in select diabetics with abscess and ulceration. He described a dorsal transverse incision, amputation of all metatarsal heads, through-and-through drainage from a dorsal to plantar direction at the site of abscess formation, and use of a Jackson-Pratt drain dorso-laterally. The authors describe a modification of this procedure that has been performed for 6 years.

MeSH terms

  • Adult
  • Aged
  • Chronic Disease
  • Diabetic Neuropathies / complications
  • Diabetic Neuropathies / surgery*
  • Female
  • Humans
  • Male
  • Metatarsus / surgery*
  • Middle Aged
  • Postoperative Care
  • Recurrence
  • Skin Ulcer / etiology
  • Skin Ulcer / surgery*