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 had …
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