Neuropathic toe ulcers treated with toe flexor tenotomies.

Area of Science:

• Podiatry
• Diabetic Foot Care
• Surgical Innovation

Background:

• Neuropathic foot ulcers are a significant cause of hospitalization and amputation.
• Diabetic neuropathy is a primary risk factor for these debilitating ulcers.
• Effective treatment strategies for neuropathic toe ulcers are crucial.

Purpose of the Study:

• To evaluate the efficacy and safety of percutaneous flexor tenotomy for treating plantar neuropathic toe ulcers.
• To assess long-term outcomes, including ulcer healing and recurrence rates.
• To determine the complication profile associated with this surgical intervention.

Main Methods:

• Retrospective analysis of 28 neuropathic toe ulcers in 18 patients treated between 1996 and 2003.
• Percutaneous flexor tenotomy was performed on the affected toe flexors.
• Follow-up data was collected to assess healing, recurrence, and complications.

Main Results:

• All 28 ulcers healed successfully following tenotomy.
• No lesser toe ulcers recurred, while three first toe ulcers recurred but healed after repeat tenotomy.
• The procedure demonstrated a favorable safety profile with no toe amputations or infections directly related to the tenotomy.

Conclusions:

• Percutaneous flexor tenotomy is an effective and safe treatment for neuropathic toe ulcers.
• The study provides valuable long-term data on this minimally invasive approach.
• This technique offers a promising alternative for managing complex foot ulcers in at-risk populations.