Managing Equinus In Patients With Diabetes

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Patrick DeHeer, DPM, FACFAS, and Brandon Borer, DPM

   In this study, the preoperative group had 1 degree of ankle joint dorsiflexion with the knee extended. After gastrocnemius recession, single and double dorsiflexion increased significantly (9 and 15 degrees respectively). Adding a soleus recession only increased dorsiflexion by 1 degree. Therefore, it is more effective to perform a double gastrocnemius recession.

In Conclusion

When it comes to preventative care that has been championed over the past two decades for the patient with diabetes, there has been significant progress in amputation prevention. The one missing piece to the puzzle that has been ignored is the treatment of equinus. With adequate treatment of those patients with diabetes who have equinus, we can further decrease their risk of ulceration and amputation.

   Dr. DeHeer is a Fellow of the American College of Foot and Ankle Surgeons, and a Diplomate of the American Board of Podiatric Surgery. He is also a team podiatrist for the Indiana Pacers and the Indiana Fever. Dr. DeHeer is in private practice with various offices in Indianapolis.

   Dr. Borer is a first-year resident at Westview Hospital in Indianapolis.

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   For further reading, see “Understanding And Managing Equinus Deformities” in the May 2011 issue of Podiatry Today or the DPM Blog “Why Do We Overlook Equinus In Patients With Diabetes?” at .

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