Exostectomy for plantar ulceration is demonstrated to be a satisfactory procedure and one with significantly less morbidity and quicker healing than a more major reconstructive procedure such as arthrodesis. The predominance of Type I (midfoot breakdown) confirms reports on the natural history of the diabetic Charcot tarsus; the midfoot has a tendency to develop symptomatic bony prominences.
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Brodsky et al. (1993) studied this question.