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. 2015 Jul-Aug;54(4):686-91.
doi: 10.1053/j.jfas.2015.04.006. Epub 2015 May 12.

Tibialis Anterior Tendon Lengthening: Adjunctive Treatment of Plantar Lateral Column Diabetic Foot Ulcers

Paul J Kim  1 , John S Steinberg  2 , Mamoru Kikuchi  3 , Christopher E Attinger  4
Affiliations

Tibialis Anterior Tendon Lengthening: Adjunctive Treatment of Plantar Lateral Column Diabetic Foot Ulcers

Paul J Kim et al. J Foot Ankle Surg. 2015 Jul-Aug.

Abstract

Tendon lengthening and rebalancing are adjunctive procedures for the treatment of chronic ulcerations in the diabetic foot. For example, the equinus deformity has been implicated as a major deforming force and is surgically treated by lengthening the Achilles tendon. A contracted tibialis anterior tendon can also play a role by potentiating a varus rotational force, increasing the pressures along the lateral column of the forefoot, and resulting in the development or chronicity of an ulceration. We present a novel application of tibialis anterior tendon lengthening for the adjunctive treatment of chronic ulcerations in the diabetic foot.

Keywords: anterior tibial tendon; biomechanics; chronic ulcer; diabetes; pressure; tibialis anterior tendon lengthening.

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