Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers

Diabetic foot ulcers have a high recurrence rate after healing.¹ The most common ulcer location is in the hallux.² Infection of the hallux requiring first ray amputation have a high incidence of progression to a transmetatarsal or transtibial amputation. There are a variety of surgical procedures pe...

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Main Authors: Haywan Chiu, DPM, FACFAS, Chris Zimmer, DPM, Allyssa Chiu, DPM, MS
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
4
Online Access:http://www.sciencedirect.com/science/article/pii/S2667396723000290
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author Haywan Chiu, DPM, FACFAS
Chris Zimmer, DPM
Allyssa Chiu, DPM, MS
author_facet Haywan Chiu, DPM, FACFAS
Chris Zimmer, DPM
Allyssa Chiu, DPM, MS
author_sort Haywan Chiu, DPM, FACFAS
collection DOAJ
description Diabetic foot ulcers have a high recurrence rate after healing.¹ The most common ulcer location is in the hallux.² Infection of the hallux requiring first ray amputation have a high incidence of progression to a transmetatarsal or transtibial amputation. There are a variety of surgical procedures performed to treat and prevent neuropathic foot ulcers based on anatomic location of the ulcer. Options to treat the plantar hallux ulceration include arthroplasties and tendon releases, which carry the risk of infection and transfer ulcer.⁴⁻⁸ Recently, a selective plantar fascia release was described to offload diabetic forefoot ulcers.⁹ We demonstrate a percutaneous modification using an 18-gauge needle to release the medial plantar fascial band to treat plantar hallux ulcers with potentially less complications than arthroplasties.
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spelling doaj.art-e3091b0c593e4072bae6a7eaf3576aff2023-06-10T04:28:59ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672023-01-0132100291Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcersHaywan Chiu, DPM, FACFAS0Chris Zimmer, DPM1Allyssa Chiu, DPM, MS2Podiatrist, Albuquerque Associated Podiatrists, 8080 Academy Rd NE Suite C, Albuquerque, NM 87114, USA; Corresponding author at: 8080 Academy Rd NE Suite C, Albuquerque, NM 87114, USA.Podiatry resident, Baylor Scott & White Memorial Hospital/Texas A&M Health Science Center, Department of Surgery, Podiatry Division, 2401 South 31st Street, Temple, TX 76508, USAPodiatristDiabetic foot ulcers have a high recurrence rate after healing.¹ The most common ulcer location is in the hallux.² Infection of the hallux requiring first ray amputation have a high incidence of progression to a transmetatarsal or transtibial amputation. There are a variety of surgical procedures performed to treat and prevent neuropathic foot ulcers based on anatomic location of the ulcer. Options to treat the plantar hallux ulceration include arthroplasties and tendon releases, which carry the risk of infection and transfer ulcer.⁴⁻⁸ Recently, a selective plantar fascia release was described to offload diabetic forefoot ulcers.⁹ We demonstrate a percutaneous modification using an 18-gauge needle to release the medial plantar fascial band to treat plantar hallux ulcers with potentially less complications than arthroplasties.http://www.sciencedirect.com/science/article/pii/S26673967230002904
spellingShingle Haywan Chiu, DPM, FACFAS
Chris Zimmer, DPM
Allyssa Chiu, DPM, MS
Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
Foot & Ankle Surgery: Techniques, Reports & Cases
4
title Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
title_full Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
title_fullStr Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
title_full_unstemmed Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
title_short Percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
title_sort percutaneous medial band plantar fasciotomy for treatment of chronic plantar hallux ulcers
topic 4
url http://www.sciencedirect.com/science/article/pii/S2667396723000290
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