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

Paul J. Kim, John S. Steinberg, Mamoru Kikuchi, Christopher E. Attinger

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)686-691
Number of pages6
JournalJournal of Foot and Ankle Surgery
Volume54
Issue number4
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

Keywords

  • Anterior tibial tendon
  • Biomechanics
  • Chronic ulcer
  • Diabetes
  • Pressure
  • Tibialis anterior tendon lengthening

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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