Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Outpatient Percutaneous Flexor Tenotomy for Diabetic Claw Toe Deformity with Ulcer

궤양을 동반한 당뇨성 갈퀴 족지에 대하여 외래에서 시행한 경피적 굴곡건 절단술

  • Lee, Dong-Hun (Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, Catholic Universtiy of Korea) ;
  • Chung, Jin-Wha (Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, Catholic Universtiy of Korea)
  • 이동훈 (가톨릭대학교 의과대학 부천성모병원 정형외과학교실) ;
  • 정진화 (가톨릭대학교 의과대학 부천성모병원 정형외과학교실)
  • Received : 2018.10.15
  • Accepted : 2018.11.15
  • Published : 2018.12.15
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Abstract

Purpose: Toe ulcers have been implicated as a causative factor in diabetic foot amputation. The aim of this study was to evaluate the outcomes of percutaneous needle flexor tenotomies of diabetic claw toes with ulcers or pending ulcers. Materials and Methods: The authors undertook a retrospective chart review between January 2014 and June 2016 to identify those patients who underwent a percutaneous needle flexor tenotomy for diabetic claw toe deformities. We evaluated 54 toes in 42 patients. Twenty-four patients were female and the mean age at the time of operation was 57 years. The mean follow-up time was 11 months. Thirty-four patients (46 toes) had tip toe ulcers or pending ulcers and 8 patients (8 toes) had dorsal pending ulcers. All patients had palpable pulses and good capillary refill. Results: Forty-three of 46 tip toe ulcers (93.5%) healed without significant complications and 8 dorsal ulcers showed no specific changes within 5 weeks. There were no recurrent ulcers at final follow-up. Four patients developed transfer lesion of the adjacent toe and needed subsequent tenotomy. Conclusion: Percutaneous needle tenotomy in an outpatient clinic was an effective and safe method for treating toe ulcers in neuropathic patients to offload the tip of the toe so that ulcer healing could occur.

Keywords

References

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