Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
Online Publication Date:
Feb 1993

Tendo Achillis procedures for chronic ulcerations in diabetic patients with transmetatarsal amputations

DC Barry Department of Surgery, Harvard Medical School, Boston, MA.

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KA Sabacinski Department of Surgery, Harvard Medical School, Boston, MA.

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GM Habershaw Department of Surgery, Harvard Medical School, Boston, MA.

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JM Giurini Department of Surgery, Harvard Medical School, Boston, MA.

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JS Chrzan Department of Surgery, Harvard Medical School, Boston, MA.

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DOI:
https://doi.org/10.7547/87507315-83-2-96
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Recurrent ulceration following transmetatarsal amputation commonly results from hypertrophic bone formation or equinus deformity. In the current study, 31 diabetic patients underwent 33 Achilles tendon procedures for recurrent ulcerations at the distal stump of their transmetatarsal amputation. Primary healing was achieved in 21 procedures (64%) and secondary healing in 9 procedures (27%) for an overall healing rate of 91%. Two procedures failed to resolve the original ulceration (6%). The average follow-up examination was 27 months. The authors conclude that Achilles tendon procedures are an effective means of managing ulcerations in transmetatarsal amputation feet exhibiting an equinus deformity.

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