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PLANTAR FOREFOOT ULCERATION WITH EQUINUS DEFORMITY OF THE ANKLE IN DIABETIC PATIENTS: THE EFFECT OF TENDO-ACHILLES LENGTHENING AND TOTAL CONTACT CASTING
Abstract
ABSTRACT Between 1993 and 1995, 93 neuropathic diabetes mellitus patients with foot ulcers underwent a total contact cast (TCC) protocol. A randomly chosen group of 21 patients (Group I) demonstrated ulcer healing in a mean time of 43.5 days. Despite 9 weeks of TCC, 15 patients (Group II) with forefoot ulcers failed to heal. Physical examination of Group I revealed plantarflexion/dorsiflexion range of motion of the ankle of 33.871.9° compared to 32.3°/-10.5° of Group II, demonstrating an ankle equinus deformity and limited joint motion. Group II patients underwent a correction of the equinus deformity with percutaneous tendo-Achilles lengthening (TAL), followed by a TCC. All but one ulcer (93.3%) healed within 39.4 days. Four (19.0%) ulcers recurred (at the same site) in Group I, compared to none in Group II at the latest follow up of 17.3 months. Surgical correction with percutaneous TAL and TCC results in healing of forefoot ulcer and helps prevent ulcer recurrence.
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Cited by
Gornik, H. L., Aronow, H. D., Goodney, P. P., Arya, S., Brewster, L. P., Byrd, L., Chandra, V., Drachman, D. E., Eaves, J. M., Ehrman, J. K., et al. (2024) · Circulation · doi:10.1161/cir.0000000000001251 · Cited by 771
ISOLATED GASTROCNEMIUS TIGHTNESS
DIGIOVANNI, C. W., KUO, R., TEJWANI, N., PRICE, R., HANSEN, S. T., CZIERNECKI, J., & SANGEORZAN, B. J. (2002) · The Journal of Bone and Joint Surgery-American Volume · doi:10.2106/00004623-200206000-00010 · Cited by 462
Prevention of foot ulcers in the at‐risk patient with diabetes: a systematic review
van Netten, J. J., Price, P. E., Lavery, L. A., Monteiro‐Soares, M., Rasmussen, A., Jubiz, Y., Bus, S. A., & on behalf of the International Working Group on the Diabetic Foot (IWGDF) (2016) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.2701 · Cited by 422
EFFECT OF ACHILLES TENDON LENGTHENING ON NEUROPATHIC PLANTAR ULCERS☆: A RANDOMIZED CLINICAL TRIAL
MUELLER, M. J., SINACORE, D. R., HASTINGS, M. K., STRUBE, M. J., & JOHNSON, J. E. (2003) · The Journal of Bone and Joint Surgery-American Volume · doi:10.2106/00004623-200308000-00003 · Cited by 353
ARMSTRONG, D. G., STACPOOLE-SHEA, S., NGUYEN, H., & HARKLESS, L. B. (1999) · The Journal of Bone & Joint Surgery · doi:10.2106/00004623-199904000-00011 · Cited by 299
Metadata
- Authors
- Lin, S. S., Lee, T. H., & Wapner, K. L.
- Venue
- Orthopedics
- Publisher
- SLACK, Inc.
- Published
- 1996-05
- Volume
- 19
- Issue
- 5
- Pages
- 465-475
- ISSN
- 0147-7447 (ISSN-L)
- 1938-2367
- OpenAlex
- W171731147
- Cited by
- 197
- References
- 0
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: PLANTAR FOREFOOT ULCERATION WITH EQUINUS DEFORMITY OF THE ANKLE IN DIABETIC PATIENTS: THE EFFECT OF TENDO-ACHILLES LENGTHENING AND TOTAL CONTACT CASTING. https://app.cochat.ai/papers/10.3928/0147-7447-19960501-18
- The paper
- Lin, S. S., Lee, T. H., & Wapner, K. L. (1996). PLANTAR FOREFOOT ULCERATION WITH EQUINUS DEFORMITY OF THE ANKLE IN DIABETIC PATIENTS: THE EFFECT OF TENDO-ACHILLES LENGTHENING AND TOTAL CONTACT CASTING. Orthopedics. https://doi.org/10.3928/0147-7447-19960501-18
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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