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World J Orthop. Feb 18, 2021; 12(2): 61-68
Published online Feb 18, 2021. doi: 10.5312/wjo.v12.i2.61
Diabetic foot: Which one comes first, the ulcer or the contracture?
Raden Andri Primadhi, Herry Herman
Raden Andri Primadhi, Herry Herman, Department of Orthopaedics and Traumatology, Universitas Padjadjaran Medical School, Hasan Sadikin Hospital, Bandung 40161, Indonesia
Author contributions: Primadhi RA performed the majority working of the writing and figure preparation; Herman H provided input into the paper writing.
Conflict-of-interest statement: The authors have nothing to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Raden Andri Primadhi, MD, Assistant Professor, Surgeon, Department of Orthopaedics and Traumatology, Universitas Padjadjaran Medical School, Hasan Sadikin Hospital, Jalan Pasteur 38, Bandung 40161, Indonesia. randri@unpad.ac.id
Received: November 19, 2020
Peer-review started: November 19, 2020
First decision: December 21, 2020
Revised: December 25, 2020
Accepted: January 22, 2021
Article in press: January 22, 2021
Published online: February 18, 2021
Processing time: 76 Days and 6.3 Hours
Core Tip

Core Tip: There is a complex pathogenesis of diabetic foot ulcers, including many variables that are involved in a vicious cycle. This is the first review to analyze the relationship between contracture and ulcer formation, with the aim of formulating a more detailed pathogenesis and timeline for better treatment strategies.