The effect of percutaneous flexor tenotomy on healing and prevention of foot ulcers in patients with claw deformity of the toe
The Journal of Foot & Ankle Surgery Nov 13, 2019
Schmitz P, Scheffer R, De Gier S, et al. - In this retrospective study, with a median follow-up of 13.4 months, experts involved all consecutive persons who underwent percutaneous flexor tenotomy in two hospitals between July 2012 and April 2017 in order to examine whether percutaneous flexor tenotomy was an efficient surgical technique for treatment and prevention of toe ulcers in individuals with claw deformity. In total, 101 feet underwent flexor tenotomy of which 84 underwent therapeutic and 17 prophylactic. With a median healing time of 27 days, 95.1% of the 84 therapeutic procedures healed. A re-ulceration was noted in 11 therapeutic procedures. In the therapeutic group, four infections and one amputation of the digit transpired. In the 17 prophylactic procedures, local bleeding was noted in one. Two ulcers transpired in the prophylactic group. In 77 of all procedures, individuals had diabetes mellitus. Thus, in individuals with claw deformity, for the treatment and prevention of toe ulcers, percutaneous flexor tenotomy was found out to be an efficient, safe, and minimally invasive procedure.
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