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Recurrence of Diabetic Pedal Ulcerations Following Tendo-Achilles Lengthening

Authors
Journal
Diabetic Foot & Ankle
2000-625X
Publisher
Co-Action Publishing
Publication Date
Volume
2
Identifiers
DOI: 10.3402/dfa.v2i0.6417
Keywords
  • Iefs Proceedings
Disciplines
  • Medicine
  • Physics

Abstract

Foot and ankle surgeons are frequently challenged by the devastating systemic consequences of diabetes mellitus manifested through neuropathy, integumentary and joint breakdown, delayed healing, decreased ability to fight infection, and fragile tendon/ligaments. Diabetic neuropathic pedal ulcerations lead to amputations at an alarming rate and also carry a high mortality rate. This article will discuss causes of diabetic pedal ulcerations that persist or recur after tendo-Achilles lengthening and will highlight areas that need to be addressed by the practitioner such as infection, vascular and nutritional status, glucose control, off-loading, biomechanics, and patient compliance.

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