Ramanujam Crystal L, Zgonis Thomas
Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.
Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.
Clin Podiatr Med Surg. 2017 Apr;34(2):275-280. doi: 10.1016/j.cpm.2016.10.013. Epub 2016 Dec 30.
Achilles tendon pathologic conditions are implicated in contributing to the development of many diabetic foot complications including diabetic foot ulceration and Charcot neuroarthropathy. Surgical correction of the diabetic equinus deformity has been studied as an isolated or adjunctive treatment when dealing with difficult-to-close diabetic foot ulcerations or when surgically addressing the diabetic Charcot neuroarthropathy foot or ankle. This article reviews the most common indications, complications, and surgical procedures for equinus correction by either a tendo-Achilles lengthening or gastrocnemius recession for the management of diabetic foot conditions.
跟腱病理状况与许多糖尿病足并发症的发生有关，包括糖尿病足溃疡和夏科氏神经关节病。在处理难以愈合的糖尿病足溃疡时，或在手术治疗糖尿病夏科氏神经关节病的足部或踝部时，已对糖尿病马蹄足畸形的手术矫正作为一种单独或辅助治疗方法进行了研究。本文综述了通过跟腱延长或腓肠肌松解进行马蹄足矫正以治疗糖尿病足疾病的最常见适应证、并发症及手术方法。
