Tibialis Anterior Tendon Lengthening: Adjunctive Treatment of Plantar Lateral Column Diabetic Foot Ulcers

Abstract Tendon lengthening and rebalancing are adjunctive procedures for the treatment of chronic ulcerations in the diabetic foot. For example, the equinus deformity has been implicated as a major deforming force and is surgically treated by lengthening the Achilles tendon. A contracted tibialis a...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2015-07, Vol.54 (4), p.686-691
Main Authors: Kim, Paul J., DPM, MS, FACFAS, Steinberg, John S., DPM, FACFAS, Kikuchi, Mamoru, MD, PhD, Attinger, Christopher E., MD, FACS
Format: Article
Language:English
Subjects:
anterior tibial tendon
Biomechanical Phenomena - physiology
biomechanics
chronic ulcer
Contracture - physiopathology
Contracture - surgery
diabetes
Diabetic Foot - physiopathology
Diabetic Foot - surgery
Humans
Orthopedics
Postoperative Care
pressure
Tendons - physiopathology
Tendons - surgery
tibialis anterior tendon lengthening
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Summary:Abstract Tendon lengthening and rebalancing are adjunctive procedures for the treatment of chronic ulcerations in the diabetic foot. For example, the equinus deformity has been implicated as a major deforming force and is surgically treated by lengthening the Achilles tendon. A contracted tibialis anterior tendon can also play a role by potentiating a varus rotational force, increasing the pressures along the lateral column of the forefoot, and resulting in the development or chronicity of an ulceration. We present a novel application of tibialis anterior tendon lengthening for the adjunctive treatment of chronic ulcerations in the diabetic foot.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2015.04.006