The Effect of Percutaneous Flexor Tenotomy on Healing and Prevention of Foot Ulcers in Patients With Claw Deformity of the Toe |
| |
| Affiliation: | 1. Doctor, Department of Vascular Surgery, Rijnstate Hospital Arnhem, Arnhem, TA, the Netherlands;2. Doctor, Department of Vascular Surgery, Slingeland Hospital Doetinchem, Doetinchem, AD, the Netherlands;3. Surgeon, Department of Vascular Surgery, Slingeland Hospital Doetinchem, Doetinchem, AD, the Netherlands;4. Research Nurse, Department of Vascular Surgery, Rijnstate Hospital Arnhem, Arnhem, TA, the Netherlands;5. Surgeon, Department of Vascular Surgery, Rijnstate Hospital Arnhem, Arnhem, TA, the Netherlands;1. Physiotherapist, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain;2. Physiotherapist, Fisioterapia Pérez y Salcedo, Logroño, La Rioja, Spain;3. Physiotherapist, Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain;1. Undergraduate, Clinical Medicine, Medical College of Yanbian University, Yanji, Jilin Province, China;2. Associate Professor, Department of Anatomy, Medical College of Yanbian University, Yanji, Jilin Province, China;3. Lecturer, Department of Anatomy, Medical College of Yanbian University, Yanji, Jilin Province, China;4. Associate Director Physician, Orthopaedic Department, Yanbian University Hospital, Yanji, Jilin Province, China;1. Resident Physician, Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington DC, USA;2. Attending Physician, Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA;1. Consultant Anaesthetist, Department of Anaesthesiology, Queen Elizabeth Hospital King''s Lynn, Norfolk, United Kingdom;2. Specialist Registrar in Trauma & Orthopaedic Surgery, Department of Trauma and Orthopaedic Surgery, Queen Elizabeth Hospital King''s Lynn, Norfolk, United Kingdom;3. Specialist Registrar in Anaesthesiology, Department of Anaesthesiology, Queen Elizabeth Hospital King''s Lynn, Norfolk, United Kingdom;4. Consultant Trauma & Orthopaedic Surgeon, Department of Trauma and Orthopaedic Surgery, Queen Elizabeth Hospital King''s Lynn, Norfolk, United Kingdom;1. Resident, Department of Surgery, Central Finland Central Hospital, Jyväskylä, Finland;2. Professor, Health Sciences, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland;3. Professor, Department of Physical Medicine, Central Finland Health Care District, Jyväskylä, Finland;4. Professor, Department of Plastic Surgery, Central Hospital of Helsinki University, HUS, Helsinki, Finland;5. Orthopaedic Surgeon, Department of Orthopaedics and Traumatology, HUS Helsinki University Hospital and University of Helsinki, Helsinki, Finland |
| |
| Abstract: | Claw deformity of the foot is frequently seen in patients with diabetes mellitus. Percutaneous flexor tenotomy is a simple surgical procedure for the treatment of foot ulcers on the distal end of the toe caused by this deformity. This procedure can also be performed to prevent ulcers in claw toes that are at risk of ulceration. The aim of this study is to investigate whether percutaneous flexor tenotomy is an effective surgical method for treatment and prevention of toe ulcers in patients with claw deformity. This retrospective study, with a median follow-up of 13.4 (1 to 66.7) months, included all consecutive patients who underwent percutaneous flexor tenotomy in 2 hospitals between July 2012 and April 2017. In total, 101 feet underwent flexor tenotomy: 84 (83.3%) therapeutic and 17 (16.7%) prophylactic. Of the 84 therapeutic procedures, 95.1% healed, with a median healing time of 27 days. In 11 (13.3%) therapeutic procedures, a reulceration was recorded. In the therapeutic group, 4 (4.8%) infections and 1 (1.2%) amputation of the digit occurred. In the 17 prophylactic procedures, local bleeding was recorded in 1 (5.9%). In the prophylactic group, 2 ulcers occurred. In 77 (76.2%) of all procedures, patients had diabetes mellitus. In conclusion, percutaneous flexor tenotomy is an effective, safe, and minimally invasive procedure for the treatment and prevention of toe ulcers in patients with claw deformity. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
