Format

Send to

Choose Destination
See comment in PubMed Commons below
Clin Podiatr Med Surg. 2012 Jul;29(3):413-24. doi: 10.1016/j.cpm.2012.04.005. Epub 2012 May 24.

Gastrocnemius recession or tendo-achilles lengthening for equinus deformity in the diabetic foot?

Author information

1
Foot and Ankle Center of Nebraska, Omaha, NE, USA. robert.m.greenhagen@dmu.edu

Abstract

Contracture of the Achilles-gastrocnemius-soleus complex leading to ankle equinus has been linked to the development of various foot disorders. Decrease in ankle dorsiflexion results in an increase in plantar pressures and in diabetes and neuropathy, increased pressures can lead to ulceration and possibly the formation of Charcot foot. Surgical management of the equinus deformity corrects this abnormality and has the potential to avert the development of Charcot foot or ankle. Gastrocnemius recession, tendo-Achilles lengthening, and Achilles tenotomy have all been offered as surgical solutions to this condition. This article reviews ankle equinus and compares the treatment options available. A video of Hoke's triple hemisection has been included with this article and can be viewed at www.podiatric.theclinics.com.

PMID:
22727381
DOI:
10.1016/j.cpm.2012.04.005
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center