What A New Study Reveals About Tendon Lengthening For Diabetic Plantar Foot Ulcers

Monroe Laborde, MD

   Tendon lengthening may also prevent the progression of Charcot arthropathy.15 Another study with more patients and longer follow-up is underway to further evaluate this possibility.

   Tendon lengthening is my first choice for the treatment of diabetic and other causes of ulcers plantar to the toe, metatarsal head and midfoot.2-15

In Conclusion

This study suggests that tendon lengthening is an effective treatment for plantar foot ulcers. The results of this study compare favorably with the published results of other operative and non-operative treatments for forefoot and midfoot ulcers. Tendon lengthening heals more ulcers with much less recurrence and less complications than the reported results of other treatments I have discussed above.

   Dr. Laborde is an Orthopaedic Surgeon at Touro Infirmary. He is a Clinical Assistant Professor of Orthopaedic Surgery at the Tulane University School of Medicine at Louisiana State University Health Sciences Center in New Orleans, La. and is director of Foot Clinic at LSUHSC.

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