Review Article Open Access
Volume 1 | Issue 3 | DOI: https://doi.org/10.33696/Orthopaedics.1.014

The use of Percutaneous Achilles’ Tendon Lengthening as an Adjunct Procedure in Foot and Ankle Surgery: A Review

  • 1Department of Medicine and Department of Orthopedics, Emory University School of Medicine, USA
+ Affiliations - Affiliations

Corresponding Author

Gabriel Santamarina, gsantam@emory.edu

Received Date: August 26, 2020

Accepted Date: October 12, 2020


Diabetic foot and ankle reconstruction is a difficult area of surgery in which to achieve ideal outcomes. The goal for a majority of cases in this surgical field is to achieve a plantigrade foot that can function throughout the gait cycle in shoes with or without a brace. There are multiple biomechanical, biochemical, neurological, vascular, infectious, and social factors that can influence the likelihood of achieving those goals. The effect of the Achilles’ tendon on the gait cycle, through its effects on joint function, is the greatest determinant of non-rigid deformity in diabetic feet. In order to improve the chance of a desired outcome, the Achilles tendon should be assessed for any possible pathologies. For many patients, the addition of the simple technique of a percutaneous Achilles’ tendon release to a surgical case is powerful enough to address multiple biomechanical issues and prevent below-knee amputations.



Achilles Tendon, Foot and Ankle Surgery, Foot Surgery, Ankle Surgery, diabetic foot, diabetic feet, knee amputations, amputations, amputation, 

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