Flexor Tenotomy and Ulcer Recurrence
The Efficacy of Flexor Tenotomy on the Prevention of Recurrent Diabetic Foot Ulcers: a Randomized Controlled Trial
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
66 participants
Mar 15, 2022
INTERVENTIONAL
Conditions
Summary
The main purpose of this study is to assess the efficacy of flexor tenotomy on the prevention of recurrence of toe ulcers in people with diabetes and a history of toe ulceration. Additionally, the investigators aim to assess interphalangeal joints (IPJ) and metatarsophalangeal joint (MTPJ) angles in a weight-bearing and non-weight-bearing position, bare-foot plantar pressure during walking and quality of life before and after the intervention and compare between study groups.
Eligibility
Inclusion Criteria11
- A minimum age of 18 years
- Sufficient understanding of Dutch/English language
- Capable of filling out informed consent
- Peripheral polyneuropathy
- Diabetes mellitus type 1 or 2
- A minimum of one claw/hammer toe
- A documented history of diabetic ulcers underneath the toe apex in the past 5 years
- Open ulcers on the toes
- Previous participation in the study
- Pregnant women
- Concomitant participation in a study in which the patient is exposed to X-rays
Exclusion Criteria1
- No written informed consent
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Interventions
Minimally-invasive percutaneous needle flexor tenotomy of the long digital flexor tendon
Locations(1)
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NCT05228340