ArticleJournal of clinical & translational endocrinology2019
The effect of needle tenotomy on hammer, mallet and claw toe deformities in patients with diabetes, a retrospective study.
Article in Journal of clinical & translational endocrinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- A systematic review of the claw toe deformity: What is known and what is needed apart from surgical procedures.International wound journal · 2024Pooled it
- Effect of flexor tendon tenotomy of the diabetic hammertoe on plantar pressure: a randomized controlled trial.BMJ open diabetes research & care · 2024Trial
- Safety and efficacy of percutaneous toe flexor tenotomies under local anesthesia in an outpatient setting.Journal of orthopaedic surgery and research · 2026Observational
- Long Term Outcomes After Flexor Tendon Tenotomy of the Diabetic Foot.Clinical medicine insights. Endocrinology and diabetes · 2025Article
- The efficacy of flexor tenotomy to prevent recurrent diabetic foot ulcers (DIAFLEX trial): Study protocol for a randomized controlled trial.Contemporary clinical trials communications · 2023Article
- Effectiveness of Percutaneous Flexor Tenotomies for the Prevention and Management of Toe-Related Diabetic Foot Ulcers: A Systematic Review.Journal of clinical medicine · 2023Review
- Percutaneous Tenotomy for the Management of Spastic Contractures in Adults: A Systematic Review.Advances in rehabilitation science and practiceReview
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this study was to evaluate outcomes of needle tenotomies as a treatment option for hammer, mallet and claw toes in patients with diabetes.
methodsThis was a retrospective study where all patients receiving flexor tendon tenotomy by needle at our outpatient clinic were identified through the electronic patient record system.
resultsA total of 81 patients that had 106 tenotomy procedures performed were identified. The 81 included (68% male) had an average age of 65.4 years, and 27 (33%) had Type 1 diabetes. Of the 106 procedures 36 were performed due to an ulcer on the feet. Of the 36 treated ulcers, 34 (94%) healed in an average time of 28 days. Tenotomies performed to prevent impending ulcers from progressing to active ulcers, were performed 84 times in total. Of the 84 procedures 6 patients progressed to an active ulcer. No serious complications i.e. infections or amputations in relation to the procedure were registered.
conclusionNeedle flexor tenotomies are a relatively safe and effective treatment compared to tenotomies done by scalpel, both as treatment for ulcers and to prevent formation of new ulcers associated with hammer, mallet and claw toe deformities. As a side note, transfer lesions are avoidable if all toes on one or both feet are tenotomized in one procedure.
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Registered trials
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