{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T07:23:11Z","timestamp":1774596191329,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Foot ulceration is a debilitating and often disabling complication of diabetes mellitus, with negative prognostic associations in terms of morbidity and mortality. Percutaneous needle tenotomy (PNT) is increasingly recognized as a safe, minimally invasive procedure for treating tendon\u2010related deformities, including mechanical forefoot ulceration. This study evaluated clinical outcomes of needle flexor tenotomies performed by a podiatrist versus an orthopaedic surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This service evaluation reviewed consecutive adult patients with foot ulceration who received needle tenotomy by a senior podiatrist, excluding those who underwent alternative procedures\/amputation. Orthopaedic surgeon conducted tenotomy was the comparison group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Podiatrist: 30 patients underwent needle tenotomy (total\u201431 feet) (23 patients had diabetes). Orthopaedic surgeon: 10 patients underwent needle tenotomy (total\u201412 feet). Median age was 71.5\u00a0years (range: 39.0\u201392.0), with 8 males\/2 females. (8\u00a0patients had diabetes). The podiatrist\u2010led group was older and had higher HbA1c, greater proportion of smokers, larger ulcer size and longer ulcer duration pre\u2010intervention (median 54 vs. 20\u00a0weeks and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002) than the orthopaedic surgeon\u2013led group. Despite these differences in disease severity, time to ulcer resolution (median 4.7 vs. 2\u00a0weeks,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.119) and the rate of complete healing (86.7% vs. 100% and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.556) did not differ significantly between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The lowest cost of the minor surgical foot procedure as a day case\u00a0=\u00a0\u00a3554 (\u20ac662) with this cost at least halved by conducting the procedure in a podiatry clinic. In conclusion, podiatrist\u2010led percutaneous needle tenotomy is a safe and effective intervention for foot ulcers, achieving healing outcomes comparable to an orthopaedic surgeon. We hope that the procedure can be adopted more widely.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70123","type":"journal-article","created":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T20:40:13Z","timestamp":1770583213000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparative Outcomes of Percutaneous Needle Tenotomy Performed by a Podiatrist Versus an Orthopaedic Surgeon in the Management of Toe Ulcers"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9537-4050","authenticated-orcid":false,"given":"Adrian","family":"Heald","sequence":"first","affiliation":[{"name":"Endocrinology &amp; Diabetes Salford Royal NHS Foundation Trust  Salford UK"},{"name":"University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangeeth Priyadarshan","family":"Veluchamy Rathakrishnan","sequence":"additional","affiliation":[{"name":"Endocrinology &amp; Diabetes Salford Royal NHS Foundation Trust  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4500-5879","authenticated-orcid":false,"given":"Jessica","family":"Blong","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedic Surgery Salford Royal NHS Foundation Trust  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Sharpe","sequence":"additional","affiliation":[{"name":"Department of Podiatry Salford Royal NHS Foundation Trust  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Gorman","sequence":"additional","affiliation":[{"name":"Department of Podiatry Salford Royal NHS Foundation Trust  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3186-4122","authenticated-orcid":false,"given":"Edward","family":"Jude","sequence":"additional","affiliation":[{"name":"Tameside and Glossop Integrated Care NHS Foundation Trust  Ashton\u2010under\u2010Lyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Stedman","sequence":"additional","affiliation":[{"name":"Res Consortium  Andover UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Robinson","sequence":"additional","affiliation":[{"name":"Endocrinology &amp; Diabetes Salford Royal NHS Foundation Trust  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil D.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Medical School Faculty of Health and Medicine Lancaster University  Lancaster UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Gee","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedic Surgery Salford Royal NHS Foundation Trust  Salford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Allen","sequence":"additional","affiliation":[{"name":"Tameside and Glossop Integrated Care NHS Foundation Trust  Ashton\u2010under\u2010Lyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15328"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2024.101839"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100033\u20101333942"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2023.01.007"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.54522\/jvsgbi.2022.006"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07\u20102367"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3402\/dfa.v2i0.10358"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713509604"},{"key":"e_1_2_12_10_1","unstructured":"England NHS NHS England \u00bb 2025\/26 NHS Payment Scheme (April 4 2025) https:\/\/www.england.nhs.uk\/publication\/2025\u201026\u2010nhs\u2010payment\u2010scheme\/."},{"key":"e_1_2_12_11_1","volume-title":"Diabetic Foot Problems: Prevention and Management | Guidance","year":"2015"}],"container-title":["Journal of Foot and Ankle Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jfa2.70123","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jfa2.70123","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jfa2.70123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:03:01Z","timestamp":1774591381000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jfa2.70123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,8]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/jfa2.70123"],"URL":"https:\/\/doi.org\/10.1002\/jfa2.70123","archive":["Portico"],"relation":{},"ISSN":["1757-1146","1757-1146"],"issn-type":[{"value":"1757-1146","type":"print"},{"value":"1757-1146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,8]]},"article-number":"e70123"}}