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Table 3 Literature Review - Results

From: Effectiveness of percutaneous flexor tenotomies for the management and prevention of recurrence of diabetic toe ulcers: a systematic review

 

Kearney et al. [23]

Laborde [17]

Rasmussen et al. [15]

Tamir et al. [24]

Van Netten et al. [25]

Ulcers Healed (% of ulcers)

98.3 %

100 %

93 %

98 %

92 %

Healing Time

• 40 ± 52 days

• Under 2 months

• 7–224 days

• 98 % wound closure within 4 weeks

• 4–154 days

• Mean 22 ± 26 days

• Median: 21 days

Recurrence (% of ulcers)

• 12 %

• 8 %

• 11 %

• 0 %

• 18 %:

• 2 hallux ulcers

• 3 ulcers – not specified

• 4 lesser toes, 3 first toes

• 7 lesser toe ulcers

Time to recur

13.9 ± 15.2 months

45–48months

Not reported

Not applicable

Not Reported

Infections

2 Ulcers (3 %)

0 %

0 %

1 Patient (2%)

0 %

Complications

• 1 Amputation: ulcer non-healing due to pre-existing osteomyelits

• No infections or new deformities occurred

• 2 transfer lesions (7 % of procedures) developed 5 and 7 months after surgery

• 2 ulcers non-healing due to insufficient offloading/arterial insufficiency

• 3 Amputations: ulcers non-healing due to pre-existing infection to bone

• 9 Transfer lesions within 8 weeks of surgery (9 % of procedures)

• 8 shifted (transfer) ulcers (21 % of procedures)

• 3 Plantar skin ruptures

• Dorsiflexion of the Metatarso-phalangeal joint.

• 1 Pain