[Role of neurolysis of the posterior tibial nerve in plantar perforating diseases of diabetic origin].

Ann Chir Plast Esthet

Unité de Chirurgie Réparatrice de la Main et des Brûlés, SOS Main Grenoble.

Published: January 1992

Perforating ulcers of the foot in diabetics constitute a difficult therapeutic problem. In a series of 17 cases, the authors stress the value of tibial nerve neurolysis associated with periarterial sympathectomy which results in cure of the 15 patients treated within 30 days. Although no electromyographic improvement was observed, perfusion studies and oxymetry demonstrated an improved local vascular situation which promoted healing.

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