Flexor Tenotomy and Ulcer Recurrence
NCT05228340
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 Criteria: * 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 Exclusion Criteria: * No written informed consent * Not meeting the inclusion criteria * 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
Conditions3
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NCT05228340