Evidence map›Paper›PMID 39631844›Full record

Trial reportBMJ open diabetes research & care2024

Effect of flexor tendon tenotomy of the diabetic hammertoe on plantar pressure: a randomized controlled trial.

Jonas Askø Andersen, Anne Rasmussen, Susanne Engberg, Jesper Bencke, Marie Frimodt-Møller, Klaus Kirketerp-Møller, Peter Rossing

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open diabetes research & care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jonas Askø AndersenOrthopedic Department, Nordsjaellands Hospital, Hillerød, Denmark jonas.hedegaard.andersen@regionh.dk.ORCID 0000-0001-5213-5888
Anne RasmussenSteno Diabetes Center Copenhagen, Herlev, Denmark.
Susanne EngbergSteno Diabetes Center Copenhagen, Herlev, Denmark.
Jesper BenckeDepartment of Orthopedic Surgery, Copenhagen University Hospital at Amager-Hvidovre, Copenhagen, Denmark.
Marie Frimodt-MøllerSteno Diabetes Center Copenhagen, Herlev, Denmark.
Klaus Kirketerp-MøllerSteno Diabetes Center Copenhagen, Herlev, Denmark.
Peter RossingSteno Diabetes Center Copenhagen, Herlev, Denmark.ORCID 0000-0002-1531-4294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to evaluate the effects of flexor tendon tenotomy treatment of the diabetic hammertoe deformity on plantar pressure. RESEARCH DESIGN AND

methodsThe study was a substudy including participants from a randomized study on tenotomy treatment of diabetic hammertoes. This study was conducted between December 20, 2019 and June 22, 2021. Participants were randomized to tenotomy and standard non-surgical treatment

resultsOf the 95 participants screened in the original study, 45 (57.8% male) were included andcompleted this substudy. Of the 45 participants, 22 were randomized to intervention. The average age of participants was 65.6 ((SD±) 9.5) years and 30 (66.7%) had type 2 diabetes.The average peak plantar pressure (PPP) in toe regions of the participants in the intervention group was significantly (p<0.0001) reduced from 205.6 kPa ((Q1-Q3) 152.0-289.1) pre-intervention to 61.3 kPa (39.1-100.5) post-intervention. The average reduction in PPP of toe regions for participants in the intervention group (-145.3 kPa (-225.9 to -56.2)) was significantly (p=0.00017) higher than what was observed for participants in the control group (-1.6 kPa (-30.2 to 27.9)).

conclusionThis study found that tenotomies of the diabetic hammertoe reduces plantar pressure affecting the treated toes. This likely explains the positive effects of tenotomy treatment on diabetic foot ulcers.

Indexed as

Diabetic FootHammer Toe SyndromePressureTenotomyAgedDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisTendonsTreatment OutcomeDiabetic FootFoot UlcerPlantar Pressure

Identifiers

PMID39631844
PMCPMC11624764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.