Skip to main content

Advertisement

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