Abstract
The management of pedal ulcerations is often challenging because of a failure to correct underlying biomechanical deformities. Without correcting the biomechanical driving force creating the increased plantar pressures, it is unlikely for routine wound care to provide lasting solutions to pedal ulcerations. Patients with diabetes often experience glycosylation of their tendons, leading to contracture and pursuant deformity, creating imbalanced pressure distributions and eventual plantar ulceration. This article evaluates the efficacy of various lower extremity tendon transfers to balance the foot and redistribute plantar pressures to prevent or heal ulceration.
Original language | English (US) |
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Pages (from-to) | 31-53 |
Number of pages | 23 |
Journal | Clinics in Podiatric Medicine and Surgery |
Volume | 38 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2021 |
Externally published | Yes |
Keywords
- Diabetes
- Flexible
- Limb salvage
- Lower limb reconstruction
- Neuropathy
- Semirigid
- Tendon
- Ulceration
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine