Department of Surgery, Scott & White Memorial Hospital, Texas A&M Health Science Center, College of Medicine, 600 South 25th Street, Temple, TX 76504, United States.
Diabetes Res Clin Pract. 2010 Sep;89(3):224-6. doi: 10.1016/j.diabres.2010.05.025. Epub 2010 Jun 26.
To evaluate the effectiveness and safety of percutaneous tenotomy of the flexor digitorum longus to heal neuropathic ulcers on the tip of the toe.
We retrospectively reviewed a cohort of 48 patients with 58 tenotomy procedures with diabetes related neuropathy and ulceration at the tip of the toe. Subjects were treated with tenotomy of the flexor digitorum longus. We then evaluated healing of the ulceration and any adverse events including recurrence, infection, healing failure, and amputation.
98.3% of the ulcerations healed. Mean ulcer healing time was 40+/-52 days. 12.1% had a recurrence of ulceration at the same site. Mean time to recurrence was 13.9 months. Five percent had post-operative soft tissue infection. Two patients had amputation of the digit; both had pre-existing osteomyelitis. Mean follow up was 28 months.
Flexor tenotomy is a safe, simple procedure, which can enhance patients' healing potential with very little risk.
评估经皮踇长屈肌腱切断术治疗糖尿病神经病变性趾端溃疡的有效性和安全性。
我们回顾性分析了 48 例糖尿病相关神经病变并伴有趾端溃疡的患者，共进行了 58 次踇长屈肌腱切断术。对所有患者均行踇长屈肌腱切断术治疗，观察溃疡愈合情况以及是否出现不良事件，包括复发、感染、愈合失败和截肢。
98.3%的溃疡愈合。平均溃疡愈合时间为 40+/-52 天。12.1%的患者同一部位溃疡复发，复发的平均时间为 13.9 个月。5%的患者术后出现软组织感染。2 例患者行截趾术，均合并骨髓炎。平均随访时间为 28 个月。
踇长屈肌腱切断术是一种安全、简单的手术，可以增强患者的愈合潜能，风险极小。
