With diabetes, this is a big news. Diabetic foot ulcers are a major problem, minor inflammation may soon lead to foot ulcers. Foot diabetic neuropathy nerve damage caused by foot, so that diabetic patients can not become aware of the changes in the foot.
The U.S. city of St. Louis, Washington University School of Medicine Professor of Physiotherapy, said foot Achilles tendon lengthening surgery can effectively solve the problem of diabetic foot ulcer relapse. For ankle joint movement impairment, the method helps to walk in the patient's weight shift from foot to heel, to reduce the pressure on the front foot, reducing the risk of skin damage. Have a good heel fat pad, make the skin from stimulation, thereby reducing infection and ulcers.
The study, 64 patients were randomly assigned to two groups, one with the foot gypsum (foot cast) to protect the wound from oppression, to heal; the other group of gypsum increases with the foot Achilles tendon lengthening. Achilles tendon surgery would be extended to six weeks following a fixed can be cured.
Using only the foot in plaster group, 88% of patients with ulcer healing; while using foot gypsum plus surgery group, the ulcer healing rate was 100%.
The patient to resume walking within the first month of the peak period of recurrence of foot ulcers; 7 months after the surgery and foot ulcer recurrence rate of gypsum group was lower than 75% of foot gypsum; two years later, the low 53%.
The researchers pointed out that the Achilles tendon to extend to a certain extent, weakened the strength of calf muscles may cause unsteady gait, but can be enhanced through the gastrocnemius muscle exercises to improve. Patients with diabetic neuropathy, the treatment of chronic foot ulcers in order to reduce recurrence of hope.
