title: Percutaneous tendo Achillis lengthening to promote healing of diabetic plantar foot ulceration.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL 60152-5594, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Willrich
authors.forename: Arush K
authors.initials: AK
authors.lastname: Angirasa
authors.forename: Ronald A
authors.initials: RA
authors.lastname: Sage
mesh_terms: 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