Posterior Tibial Artery Decompression for Neuropathic Plantar Ulcerations in Diabetic Foot
Background: Posterior tibial artery (rather than nerve) decompression has shown good results in patients with neuropathic ulcers in leprosy. We carried this procedure in diabetics with sensory–neuropathic ulcers of foot.
Methods: Twenty–eight diabetic patients who had neuropathic plantar ulcerations underwent posterior tibial artery decompression under local anaesthesia.
Results: Complete healing of ulcers occurred in all except one by end of 3–6 weeks. No patient had worsening of ulcer, wound infection or local complications. Patients were happier with such day case surgery, which kept them ambulatory. Even though two patients had recurrence of ulcers they healed with further conservative treatment.
Conclusion: Posterior tibial artery decompression is a safe, simple procedure which can be done by any general surgeon at any set–up is highly recommended for sensory neuropathic ulcers.
2. Arolkar SK, Anita NH. Vascular surgery of the posterior tibial compartment for plantar ulceration in leprosy. Leprosy Review 1995; 66 : 48–55.
3. Harvima IT, Virnes S, Kauppinen L, Huttunen M, Kivinen P, Niskanen L, et al. Cultured allogenic skin cells are effective in the treatment of chronic diabetic leg and foot ulcers. Acta Dermato–Venereologica 1999; 79(3) : 217–220.
4. Caffee HH. Treatment of late ulceration in free muscle flaps to the foot. Plastic & Reconstructive Surgery 1999; 103(4) : 1247–1249.
5. el–Sarky M el–S. Local intravenous therapy in chronic inflammatory and vascular disorders of the foot. International Surgery 1997; 82(2) : 175–181.
Copyright (c) 2021 Jayant D Mohite, Yatindra Kashid
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.