Percutaneous tendo Achillis lengthening to promote healing of diabetic plantar foot ulceration.
The etiology of ulcerations related to increased plantar pressure in patients with diabetes mellitus is complex but frequently includes a component of gastrocnemius soleus equinus. One viable treatment option is percutaneous tendo Achillis lengthening as a means of increasing dorsiflexory range of motion and decreasing forefoot shear forces. This article presents three case reports illustrating the importance of reducing plantar pressure as a crucial component of treatment of diabetic forefoot ulcerations.
Willrich
Amanda
A
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL 60152-5594, USA.
Angirasa
Arush K
AK
Sage
Ronald A
RA
D000125:Achilles Tendon / Q000601:surgery*; D000368:Aged; D017719:Diabetic Foot / Q000503:physiopathology* / Q000601:surgery*; D004863:Equinus Deformity / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014945:Wound Healing