Gastrocnemius Recession or Tendo-Achilles Lengthening for Equinus Deformity in the Diabetic Foot?

被引：31
|
作者：
Greenhagen, Robert M. [1 ]
Johnson, Adam R. [2 ]
Bevilacqua, Nicholas J. [3 ]
机构：
[1] Foot & Ankle Ctr Nebraska, Omaha, NE USA
[2] Hennepin Cty Med Ctr, Dept Surg, Minneapolis, MN 55415 USA
[3] N Jersey Orthopaed Specialists PA, Teaneck, NJ USA
来源：
CLINICS IN PODIATRIC MEDICINE AND SURGERY | 2012年 / 29卷 / 03期
关键词：
Diabetes mellitus; Equinus; Achilles; Gastrocnemius recession; Tendo-Achilles lengthening; Limited joint mobility syndrome; PLANTAR PRESSURE; TENOTOMY; ANKLE; ULCERATION; CLUBFOOT; ULCERS; RISK; CONTRACTURE;
D O I：
10.1016/j.cpm.2012.04.005
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Contracture of the Achilles-gastrocnemius-soleus complex leading to ankle equinus has been linked to the development of various foot disorders. Decrease in ankle dorsiflexion results in an increase in plantar pressures and in diabetes and neuropathy, increased pressures can lead to ulceration and possibly the formation of Charcot foot. Surgical management of the equinus deformity corrects this abnormality and has the potential to avert the development of Charcot foot or ankle. Gastrocnemius recession, tendo-Achilles lengthening, and Achilles tenotomy have all been offered as surgical solutions to this condition. This article reviews ankle equinus and compares the treatment options available. A video of Hoke's triple hemisection has been included with this article and can be viewed at www. podiatric.theclinics.com.
引用
收藏
页码：413 / +
页数：13
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