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ACHILLES TENDON LENGTHENING FOR THE TREATMENT OF LONG STANDING NEUROPATHIC PLANTAR ULCERATION



Abstract

Achilles Tendon lengthening was carried out on six patients for the treatment of long standing neuropathic plantar ulcers in the diabetic foot. The results were reviewed after an average of 13 months. Alteration in gait pattern, mobility & resolution of ulcers were assessed. At the time of review, all patients showed complete ulcer healing, none reported any difficulty in mobilisation, despite off loading of the forefoot in each case.

Achilles Tendon Lengthening gives good results in selected patients, particularly those who have not responded to mechanical off loading techniques. The surgical principles & mechanisms of action of the procedure are discussed.

The abstracts were prepared by Wing Commander T. P. S. Bhullar. Correspondence should be addressed to him at the Ministry of Defence Hospital Unit, Edith Cavell Hospital, Bretton Gate, Peterborough PE3 9GZ.