Document Detail

Safety and effectiveness of flexor tenotomies to heal toe ulcers in persons with diabetes.
MedLine Citation:
PMID:  20580458     Owner:  NLM     Status:  MEDLINE    
AIM: To evaluate the effectiveness and safety of percutaneous tenotomy of the flexor digitorum longus to heal neuropathic ulcers on the tip of the toe.
METHODS: We retrospectively reviewed a cohort of 48 patients with 58 tenotomy procedures with diabetes related neuropathy and ulceration at the tip of the toe. Subjects were treated with tenotomy of the flexor digitorum longus. We then evaluated healing of the ulceration and any adverse events including recurrence, infection, healing failure, and amputation.
RESULTS: 98.3% of the ulcerations healed. Mean ulcer healing time was 40+/-52 days. 12.1% had a recurrence of ulceration at the same site. Mean time to recurrence was 13.9 months. Five percent had post-operative soft tissue infection. Two patients had amputation of the digit; both had pre-existing osteomyelitis. Mean follow up was 28 months.
CONCLUSION: Flexor tenotomy is a safe, simple procedure, which can enhance patients' healing potential with very little risk.
Tyler P Kearney; Nathan A Hunt; Lawrence A Lavery
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Publication Detail:
Type:  Journal Article     Date:  2010-06-26
Journal Detail:
Title:  Diabetes research and clinical practice     Volume:  89     ISSN:  1872-8227     ISO Abbreviation:  Diabetes Res. Clin. Pract.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508335     Medline TA:  Diabetes Res Clin Pract     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  224-6     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Ireland Ltd.
Department of Surgery, Scott & White Memorial Hospital, Texas A&M Health Science Center, College of Medicine, 600 South 25th Street, Temple, TX 76504, United States.
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MeSH Terms
Diabetic Foot / pathology,  surgery*
Retrospective Studies
Toes / pathology,  surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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