Weiner RD, Hlad LM, McKenna DR, et al.
Diabetic foot & ankle. Date of publication 2011 Jan 1;volume 2():.
1. Diabet Foot Ankle. 2011;2. doi: 10.3402/dfa.v2i0.6417. Epub 2011 May 11.
Recurrence of diabetic pedal ulcerations following tendo-achilles lengthening.
Weiner RD(1), Hlad LM, McKenna DR.
Author information:
(1)Residency Director, Podiatric Medicine and Surgery, Grant Medical Center,
Columbus, OH, USA.
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.
DOI: 10.3402/dfa.v2i0.6417
PMCID: PMC3284268
PMID: 22396818
