From: Jack Ressler, DPM
The flexor tenotomy is an excellent procedure for diabetic wounds and painful distal clavi. As we were all taught during surgical training and rotations, choose the procedure that accomplishes the most correction with the least amount of surgery. The closed flexor tenotomy as shown in Dr. Kilfoil's video is a perfect example.
A couple of pearls I would like to add are as follows: An excellent blade to use is the Beaver 5910 eye blade with a mini-Beaver handle. Make a longitudinal stab incision around the middle IPJ. This type of incision allows it to actually close when the toe is extended during bandaging. A very simple but effective bandaging can be accomplished by taking a 1" x 3" Coverlet bandage and cutting it lengthwise in a way that divides it approximately 2/3 and 1/3. Positioning the padded area plantarly, apply the Coverlet where the 2/3's part is proximal and the 1/3 tab is distal and actually crisscrossing as it attaches to the top of the digit. This pulls the distal aspect of the toe in an extended position.
Jack Ressler, DPM, Delray Beach, FL
RE: Flexor Tenotomy for Diabetic Wounds
From: Roger Kilfoil, DPM
 |
Flexor Tenotomy for Diabetic Wounds. Click on photo to view short video. |
This is a short video made to demonstrate a percutaneous tenotomy technique that is powerful at reducing pressure on the distal toe for patients with flexible hammering.
Roger Kilfoil, DPM, Baldwin, NY
RE: First-Time Diabetic Wound Video
From: Roger Kilfoil, DPM
This is a short educational video made for patients with a first- time diabetic wound.
 |
Click on photo to see Dr. Roger Kilfoil deroof a diabetic ulcer. |
Roger Kilfoil Jr., DPM, Baldwin, NY
