Is Tendon Lengthening The Best Treatment For Diabetic Foot Ulcers?

J. Monroe Laborde, MD, MS

1. Rosenbloom AL, Silverstein JH. Connective tissue and joint disease in diabetes mellitus. Endocrinol Metab Clin N Am. 1996; 25(2):473-83.
2. Lin SS, Lee H, Wapner KL. Plantar forefoot ulceration with equinus deformity of the ankle in diabetic patients; the effect of tendo-Achilles lengthening and total contact casting. Orthopaedics. 1996; 19(5):465-474.
3. McGlamry ED, Kitting RW. Equinus foot. J Am Pod Assoc. 1973; 63(5):165-184.
4. Anderson JG, Maskill D, Bohay DR, Conaway. Gastrocnemius recession: effective remedy for recalcitrant foot pain. AAOS Now. 2007, Oct, p.10.
5. Subotnick SI. Equinus deformity as it affects the forefoot. J Am Pod Assoc. 1971; 61(11):423-7.
6. Barrett SL. Understanding and managing equinus deformities. Podiatry Today. 2011; 24(5):58-65.
7. Digiovanni CW, Langer P. The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot. Foot Ankle Clin N Am. 2007; 12(2):363-79.
8. Armstrong DG, Shea SS, Nguyen H, Harkless LB. Lengthening of the Achilles tendon in diabetic patients who are at high risk for ulceration of the foot. J Bone Joint Surg. 1999; 81-A(4):535-8.
9. Lavery LA. Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus. J Am Pod Med Assoc. 2002; 92(9):479-832.
10. Pinzur MS. Current concepts review: Charcot arthropathy of the foot and ankle. Foot Ankle Int. 2007; 28(8):952-59.
11. Maskill JD Bohay DR, Anderson JR. Gastrocnemius recession to treat isolated foot pain. Foot Ankle Int. 2010; 31(1):19-22.
12. Habbu R, Holthusen SM, Anderson JG, Bohay DR. Operative correction of arch collapse with forefoot deformity. Foot Ankle Int. 2011; 32(8):764-73.
13. Landsman A, Cook E, Cook J. Tenotomy and tendon transfer about the foot. Clin Podiatr Med Surg. 2008; 25(4):547-69.
14. Sgarlato TE, Morgan J, Shane HS, Frenkenberg. Tendo-Achilles lengthening and its effect on foot disorders. J Am Pod Assoc. 1975; 65(9):849-71.
15. Pecoraro RE, Reiber GE, Burgess EM. Pathways to diabetic limb amputation. Diabetes Care. 1990; 13(5):213-21.
16. Yosipovitch Z, Sheskin J. Subcutaneous Achilles tenotomy in the treatment of perforating ulcer of the foot in leprosy. Int J Leprosy and Other Mycobat Dis. 1971; 39(2):631-632.
17. Laborde JM. Midfoot ulcers treated with tendon lengthenings. Foot Ankle Int. 2009; 30(9):842-6.
18. Barry DC, Sabacinski KA, Habershaw GM, Giurin JM, Chrzan JS. Tendo-Achilles procedure for chronic ulceration in diabetic patients with transmetatarsal amputations. J Am Pod Med Assoc. 1993; 83(2):96-100.
19. Mueller MJ, Sinacore DR, Hastings MK, Strube MJ, Johnson JE. Effect of Achilles tendon lengthening on neuropathic plantar ulcers, a randomized clinical trial. J Bone Joint Surg. 2003; 85A(8):1436-1445.
20. Nishimoto GS, Attinger CE, Cooper PS. Lengthening the Achilles tendon for the treatment of diabetic plantar forefoot ulceration. Surg Clin N Am. 2003; 83(3):707-726.
21. Holstein P, Lohman M, Birtsch M, Jorgensen B. Achilles tendon lengthening, the panacea for plantar forefoot ulcers? Diab Met Res Rev. 2004; 20(S1):S37-40.
22. Strauss MB. The orthopaedic surgeon’s role in the treatment and prevention of diabetic foot wounds. Foot Ankle Int. 2005; 26(1):5-14.
23. Laborde JM. Tendon lengthening for forefoot ulcers. Wounds 2005; 17(5):122-130.
24. Laborde JM. Neuropathic plantar forefoot ulcers treated with tendon lengthening. Foot Ankle Int. 2008; 29(4):378-384.
25. Laborde JM. Neuropathic toe ulcers treated with flexor tenotomies. Foot Ankle Int. 2007; 28(11):1160-64.
26. Dayer R, Assal M. Chronic diabetic ulcers under the first metatarsal head treated by staged tendon balancing. JBJS. 2009; 91B(4):487-493.
27. Laborde JM. Tendon lengthening for neuropathic foot problems. Orthopedics. 2010; 33(5):319-26.
28. Kearney TP, Hunt NA, Lavery LA. Safety and effectiveness of flexor tenotomies to heal toe ulcers in persons with diabetes. Diabetes Res Clin Pract. 2010; 89(3):224-6.

Add new comment