| Literature DB >> 22411624 |
A Lee Dellon1, Vickie L Muse, D Scott Nickerson, Thomas Akre, Sharon R Anderson, Steve L Barrett, Kent R Biddinger, Peter J Bregman, Bryan P Bullard, Damien M Dauphinee, James M DeJesus, Ramon A DeJesus, Ivica Ducic, Jeffery Dunkerly, Michael R Galina, Virginia Hung, Dolf R Ichtertz, Michael F Kutka, Richard P Jacoby, J Barry Johnson, David W Mader, Christopher T Maloney, Peter J Mancuso, R Craig Martin, Rick F Martin, Brian A McDowel, Vito J Rizzo, Michael Rose, Gedge D Rosson, Bruce B Shafiroff, Jerome K Steck, Raymond G Stolarski, Patrick Swier, Tatiana A Wellens-Bruschayt, Bronwyn Wilke, Eric H Williams, Michael A Wood, William A Wood, Michael P Younes, Fuat Yuksel.
Abstract
This is the first multicenter prospective study of outcomes of tibial neurolysis in diabetics with neuropathy and chronic compression of the tibial nerve in the tarsal tunnels. A total of 38 surgeons enrolled 628 patients using the same technique for diagnosis of compression, neurolysis of four medial ankle tunnels, and objective outcomes: ulceration, amputation, and hospitalization for foot infection. Contralateral limb tibial neurolysis occurred in 211 patients for a total of 839 operated limbs. Kaplan-Meier proportional hazards were used for analysis. New ulcerations occurred in 2 (0.2%) of 782 patients with no previous ulceration history, recurrent ulcerations in 2 (3.8%) of 57 patients with a previous ulcer history, and amputations in 1 (0.2%) of 839 at risk limbs. Admission to the hospital for foot infections was 0.6%. In patients with diabetic neuropathy and chronic tibial nerve compression, neurolysis can result in prevention of ulceration and amputation, and decrease in hospitalization for foot infection. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Entities:
Mesh：
Year: 2012 PMID： 22411624 DOI： 10.1055/s-0032-1306372
Source DB: PubMed Journal: J Reconstr Microsurg ISSN： 0743-684X Impact factor: 2.873