title: Tibialis Anterior Tendon Lengthening: Adjunctive Treatment of Plantar Lateral Column Diabetic Foot Ulcers.
abstract: Tendon lengthening and rebalancing are adjunctive procedures for the treatment of chronic ulcerations in the diabetic foot. For example, the equinus deformity has been implicated as a major deforming force and is surgically treated by lengthening the Achilles tendon. A contracted tibialis anterior tendon can also play a role by potentiating a varus rotational force, increasing the pressures along the lateral column of the forefoot, and resulting in the development or chronicity of an ulceration. We present a novel application of tibialis anterior tendon lengthening for the adjunctive treatment of chronic ulcerations in the diabetic foot.
authors.affiliation: Associate Professor, Department of Plastic Surgery, Georgetown University Hospital, Washington, DC. Electronic address: paul.j.kim@gunet.georgetown.edu.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Kim
authors.affiliation: Associate Professor, Department of Plastic Surgery, Georgetown University Hospital, Washington, DC.
authors.forename: John S
authors.initials: JS
authors.lastname: Steinberg
authors.affiliation: Assistant Professor, Department of Plastic Surgery, Saga University Hospital, Saga, Japan.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Kikuchi
authors.affiliation: Professor, Department of Plastic Surgery, Georgetown University Hospital, Washington, DC.
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Attinger
mesh_terms: D001696:Biomechanical Phenomena / Q000502:physiology; D003286:Contracture / Q000503:physiopathology / Q000601:surgery*; D017719:Diabetic Foot / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D011182:Postoperative Care; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*
keywords: anterior tibial tendon; biomechanics; chronic ulcer; diabetes; pressure; tibialis anterior tendon lengthening