Tendo-achilles lengthening and total contact casting for plantar forefoot ulceration in diabetic patients with equinus deformity of the ankle

Thomas H. Lee; Sheldon S. Lin; Keith L. Wapner

doi:10.1016/S1048-6666(96)80007-3

Tendo-achilles lengthening and total contact casting for plantar forefoot ulceration in diabetic patients with equinus deformity of the ankle

Thomas H. Lee, Sheldon S. Lin, Keith L. Wapner

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Total contact casting has been successful in treating neuropathic foot ulcers, but little information is available about treating patients with diabetes mellitus for whom total contact casting treatment for forefoot ulceration fails. Equinus deformity of the ankle and limited joint motion in a neuropathic foot can lead to abnormal foot pressures, resulting in failure of total contact casting. This report describes the technique of tendo-Achilles lengthening in conjunction with total contact casting and reports the results achieved in a randomly selected group of diabetic patients with unhealed forefoot ulcerations. Surgical correction with percutaneous tendo-Achilles lengthening and total contact casting can result in rapid healing of the forefoot ulcer and helps prevent ulcer recurrence.

Original language	English (US)
Pages (from-to)	222-225
Number of pages	4
Journal	Operative Techniques in Orthopaedics
Volume	6
Issue number	4
DOIs	https://doi.org/10.1016/S1048-6666(96)80007-3
State	Published - Jan 1 1996
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Orthopedics and Sports Medicine

Keywords

Achilles
Diabetic ulcer
Equinus

Access to Document

10.1016/S1048-6666(96)80007-3

Fingerprint Dive into the research topics of 'Tendo-achilles lengthening and total contact casting for plantar forefoot ulceration in diabetic patients with equinus deformity of the ankle'. Together they form a unique fingerprint.

Cite this

@article{f3091b7ee7154986a1312259db879a04,

title = "Tendo-achilles lengthening and total contact casting for plantar forefoot ulceration in diabetic patients with equinus deformity of the ankle",

abstract = "Total contact casting has been successful in treating neuropathic foot ulcers, but little information is available about treating patients with diabetes mellitus for whom total contact casting treatment for forefoot ulceration fails. Equinus deformity of the ankle and limited joint motion in a neuropathic foot can lead to abnormal foot pressures, resulting in failure of total contact casting. This report describes the technique of tendo-Achilles lengthening in conjunction with total contact casting and reports the results achieved in a randomly selected group of diabetic patients with unhealed forefoot ulcerations. Surgical correction with percutaneous tendo-Achilles lengthening and total contact casting can result in rapid healing of the forefoot ulcer and helps prevent ulcer recurrence.",

keywords = "Achilles, Diabetic ulcer, Equinus",

author = "Lee, {Thomas H.} and Lin, {Sheldon S.} and Wapner, {Keith L.}",

year = "1996",

month = jan,

day = "1",

doi = "10.1016/S1048-6666(96)80007-3",

language = "English (US)",

volume = "6",

pages = "222--225",

journal = "Operative Techniques in Orthopaedics",

issn = "1048-6666",

publisher = "W.B. Saunders Ltd",

number = "4",

}

TY - JOUR

T1 - Tendo-achilles lengthening and total contact casting for plantar forefoot ulceration in diabetic patients with equinus deformity of the ankle

AU - Lee, Thomas H.

AU - Lin, Sheldon S.

AU - Wapner, Keith L.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Total contact casting has been successful in treating neuropathic foot ulcers, but little information is available about treating patients with diabetes mellitus for whom total contact casting treatment for forefoot ulceration fails. Equinus deformity of the ankle and limited joint motion in a neuropathic foot can lead to abnormal foot pressures, resulting in failure of total contact casting. This report describes the technique of tendo-Achilles lengthening in conjunction with total contact casting and reports the results achieved in a randomly selected group of diabetic patients with unhealed forefoot ulcerations. Surgical correction with percutaneous tendo-Achilles lengthening and total contact casting can result in rapid healing of the forefoot ulcer and helps prevent ulcer recurrence.

AB - Total contact casting has been successful in treating neuropathic foot ulcers, but little information is available about treating patients with diabetes mellitus for whom total contact casting treatment for forefoot ulceration fails. Equinus deformity of the ankle and limited joint motion in a neuropathic foot can lead to abnormal foot pressures, resulting in failure of total contact casting. This report describes the technique of tendo-Achilles lengthening in conjunction with total contact casting and reports the results achieved in a randomly selected group of diabetic patients with unhealed forefoot ulcerations. Surgical correction with percutaneous tendo-Achilles lengthening and total contact casting can result in rapid healing of the forefoot ulcer and helps prevent ulcer recurrence.

KW - Achilles

KW - Diabetic ulcer

KW - Equinus

UR - http://www.scopus.com/inward/record.url?scp=15944416794&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=15944416794&partnerID=8YFLogxK

U2 - 10.1016/S1048-6666(96)80007-3

DO - 10.1016/S1048-6666(96)80007-3

M3 - Article

AN - SCOPUS:15944416794

VL - 6

SP - 222

EP - 225

JO - Operative Techniques in Orthopaedics

JF - Operative Techniques in Orthopaedics

SN - 1048-6666

IS - 4

ER -