Naslov
Tendon transfer in the salvage of Infected Diabetic foot great Toe Deformity – a Case Report

Autori
Slišurić, Ferdinand ; Matković, Kristijan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Acta chirurgica Croatica: knjiga sažetaka 2021 18 suppl 1:74 / - , 2021, 74-74

Skup
Godišnji kongres Hrvatskog društva za vaskularnu kirurgiju HLZ-a

Mjesto i datum
Opatija, Hrvatska, 28.10.2021. - 30.10.2021

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
tendon transfers ; toe deformities ; claw toe ; diabetic foot ; infection

Sažetak
Aim: Toe deformities are common among diabetic patients and motor neuropathy is believed to be a primary factor contributing to weakness of intrinsic foot muscles and imbalance between toe flexors and extensors. Non- operative measures can suffice in uncomplicated and flexible deformities, but more invasive procedures are warranted when these measures have failed.Our goal is to describe a benefit of tendon transfer in the salvage of an infected great toe caused by a diabetic foot claw toe deformity. Methods: In this case report, we describe a 61 years old male with a history of a long-standing diabetes mellitus and coronary artery disease. He presented with a great toe cellulitis and signs of a systemic infection. On the great toe there was a dorsal ulcer with redness and purulent discharge, and a marked flexible claw toe deformity.We performed incision and drainage and administered antibiotic therapy. Two weeks later the patient was readmitted for a reconstructive procedure which included dorsal great toe ulcer excision, IP joint excision with arthrodesis and a flexor hallucis longus to extensor hallucis longus tendon transfer. Results: Postoperative course was uneventful with a 6 weeks of non-weight bearing. After that time a physical therapy was instituted. In the 6 months of follow-up there was no ulcer recurrence and the range of motion in the first MTP joint was satisfactory. Conclusion: Flexor hallucis longus tendon transfer is an effective method to correct a flexible claw toe deformity and to prevent an ulcer recurrence leading to a potential toe or limb loss, especially in diabetic foot.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA