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Are the left and right limbs unequally affected by diabetic foot complications?
Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Örebro University, School of Health Sciences. University Health Care Research Center.ORCID iD: 0000-0002-6703-7575
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Prosthetics and Orthotics.ORCID iD: 0000-0002-6410-2474
2019 (English)In: 8th International symposium on diabetic foot: Abstract book, 2019, p. 140-140, article id P45.04Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Aim: There is some debate about laterality for diabetic foot complications, that is, whether the right and left limbs are unequally affected. Coxon and Gallen (1) found that more amputations were performed on the right limb and Evans et al. (2) interpreted this in the context of foot dominance: they found that most foot ulcers occured on the dominant limb (which for most people is the right one) and speculated that the dominant limb may be more exposed to mechanical stresses and injuries. However, Demetriou et al. (3) did not find any laterality in foot ulcer location. The aim was to investigate laterality for foot ulcers and amputations. Methods: A questionnaire was posted to 1245 people who had diabetes, experience of using therapeutic shoes, and who had attended one of two prosthetics and orthotics clinics during a 12 months’ period. The number of ulcers or amputations on the right and left limb were compared with a two-sided chi-square test. Results: 469 (37.7%) questionnaires were returned. 118 (25.2%) participants reported unilateral foot ulcers, 54 (11.5%) reported unilateral minor amputation, and 21 (4.5%) reported unilateral major amputation. There was no statistically significant right-left difference in foot ulcers, minor amputations or major amputations (Table 1, p-values 0.713-1.000). Conclusions: Our results do not support the hypothesis about laterality for foot ulcers and amputations.

Place, publisher, year, edition, pages
2019. p. 140-140, article id P45.04
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-77196OAI: oai:DiVA.org:oru-77196DiVA, id: diva2:1360136
Conference
8th Internationel Conference of the Diabetic foot, Haag, Netherlands, 22-25 May, 2019
Available from: 2019-10-11 Created: 2019-10-11 Last updated: 2019-10-16Bibliographically approved

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