title: Surgical Correction of the Achilles Tendon for Diabetic Foot Ulcerations and Charcot Neuroarthropathy.
abstract: Achilles tendon pathologic conditions are implicated in contributing to the development of many diabetic foot complications including diabetic foot ulceration and Charcot neuroarthropathy. Surgical correction of the diabetic equinus deformity has been studied as an isolated or adjunctive treatment when dealing with difficult-to-close diabetic foot ulcerations or when surgically addressing the diabetic Charcot neuroarthropathy foot or ankle. This article reviews the most common indications, complications, and surgical procedures for equinus correction by either a tendo-Achilles lengthening or gastrocnemius recession for the management of diabetic foot conditions.
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.
authors.forename: Crystal L
authors.initials: CL
authors.lastname: Ramanujam
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA. Electronic address: zgonis@uthscsa.edu.
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D000125:Achilles Tendon / Q000503:physiopathology / Q000601:surgery*; D000368:Aged; D001174:Arthrodesis / Q000379:methods; D001177:Arthropathy, Neurogenic / Q000000981:diagnostic imaging / Q000601:surgery*; D015897:Comorbidity; D017719:Diabetic Foot / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D004863:Equinus Deformity / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D016267:External Fixators; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D011379:Prognosis; D020127:Recovery of Function; D018570:Risk Assessment; D058971:Tenotomy / Q000379:methods*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: Achilles tendon; Charcot neuroarthropathy; Diabetic Charcot foot; Diabetic foot ulcer; Diabetic neuropathy; Equinus