Department of surgery, Hospital Group Twente, Almelo, PO Box 7600, Almelo, SZ, 7600, the Netherlands.
J Foot Ankle Res. 2013 Jan 24;6(1):3. doi: 10.1186/1757-1146-6-3.
Flexor tenotomy is a minimally invasive surgical alternative for the treatment of neuropathic diabetic foot ulcers on the distal end of the toe. The influence of infection on healing and time to heal after flexor tenotomy is unknown. Flexor tenotomy can also be used as a prophylactic treatment. The effectiveness as a prophylactic treatment has not been described before.
A retrospective study was performed with the inclusion of all consecutive flexor tenotomies from one hospital between January 2005 and December 2011.
From 38 ulcers, 35 healed (92%), with a mean time to heal of 22 ± 26 days. The longest duration for healing was found for infected ulcers that were penetrating to bone (35 days; p = .042). Cases of prophylactic flexor tenotomies (n=9) did not result in any ulcer or other complications during follow-up.
The results of this study suggest that flexor tenotomy may be beneficial for neuropathic diabetic foot ulcers on the distal end of the toe, with a high healing percentage and a short mean time to heal. Infected ulcers that penetrated to bone took a significantly longer time to heal. Prospective research, to confirm the results of this retrospective study, should be performed.
屈肌腱切开术是治疗趾端神经病变性糖尿病足溃疡的一种微创外科替代方法。感染对屈肌腱切开术后愈合和愈合时间的影响尚不清楚。屈肌腱切开术也可用作预防性治疗。作为预防性治疗的效果以前尚未描述过。
对 2005 年 1 月至 2011 年 12 月期间在一家医院进行的所有连续屈肌腱切开术进行了回顾性研究。
38 个溃疡中有 35 个（92%）愈合，平均愈合时间为 22 ± 26 天。穿透至骨的感染性溃疡的愈合时间最长（35 天；p =.042）。在随访期间，9 例预防性屈肌腱切开术均未出现溃疡或其他并发症。
本研究结果表明，屈肌腱切开术可能对趾端神经病变性糖尿病足溃疡有益，其愈合率高，平均愈合时间短。穿透至骨的感染性溃疡的愈合时间明显延长。应进行前瞻性研究以证实本回顾性研究的结果。
