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The Journal of Bone and Joint Surgery 82:1196 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Letters to The Editor

Achilles Tenotomy in Diabetics

James W. Pritchett, M.D. and David G. Armstrong, D.P.M.

Pacific Medical Center 1101 Madison Medical Tower, Suite 400 Seattle, Washington 98104
Southern Arizona VA Health Care System Tucson, Arizona 85723 E-mail address: armstrong@usa.net

To The Editor:

"Lengthening of the Achilles Tendon in Diabetic Patients Who Are at High Risk for Ulceration of the Foot" (81-A: 535-538, April 1999), by Armstrong et al., presents new information on how to reduce peak pressures on the plantar aspect of the forefoot in diabetics. They suggest that Achilles tendon lengthening may reduce the risk of ulceration. We have used Achilles tenotomy to reduce the symptoms of claudication in selected diabetic patients with peripheral vascular disease. We offer Achilles tenotomy to patients who are not candidates for or who have . . . [Full Text of this Article]


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