Foot & ankle international
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Acute traumatic rupture of the tendoachilles is a common problem. Following a recent Cochrane review, operative treatment has been shown to have a lower re-rupture rate compared with conservative treatment, but is associated with a slightly higher rate of other complications. Debate concerning the method and duration of conservative treatment remains. We aimed to assess the effect of knee position on the gap in acute tendoachilles ruptures. ⋯ This study showed that knee position had no significant effect on the tendon gap at the rupture site. This study could have considerable implications on the rationale behind conservative treatment and splinting of acute tendoachilles ruptures with no apparent role for knee flexed immobilization.
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The purpose of our study was to determine the efficacy of a management algorithm that includes negative pressure wound therapy (NPWT) in diabetic feet with limb-threatening infection. ⋯ This study provides the outcome of a management algorithm which includes NPWT in salvaging severely infected diabetic feet. With emergent evacuation of abscess, early vascular intervention and appropriate debridement, NPWT can be a useful adjunct to the management of limb-threatening diabetic foot infections.