Abstract
Over the past two decades, a gradual trend toward more aggressive management of diabetic Charcot neuroarthropathy has occurred, mainly due to improved understanding of the pathophysiology and advances in surgical techniques. Although the mainstay of diabetic Charcot foot management is still nonoperative, surgical reconstruction using internal and external fixation techniques is indicated in patients with progressive deformity, instability, recurrent ulceration, and impending compromise of the soft tissue envelope. The ultimate goal of treatment, whether nonsurgical or surgical, is to achieve a stable, plantigrade foot that can be accommodated with appropriate shoe wear and orthotics. Various surgical procedures are described.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 873-882 |
| Number of pages | 10 |
| Journal | Medical Clinics of North America |
| Volume | 97 |
| Issue number | 5 |
| DOIs | |
| State | Published - Sep 1 2013 |
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Keywords
- Charcot
- Diabetes
- Foot
- Orthopaedic surgery
ASJC Scopus subject areas
- Medicine(all)
Cite this
Orthopaedic surgery and the diabetic Charcot foot. / Shen, Wei; Wukich, Dane.
In: Medical Clinics of North America, Vol. 97, No. 5, 01.09.2013, p. 873-882.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Orthopaedic surgery and the diabetic Charcot foot
AU - Shen, Wei
AU - Wukich, Dane
PY - 2013/9/1
Y1 - 2013/9/1
N2 - Over the past two decades, a gradual trend toward more aggressive management of diabetic Charcot neuroarthropathy has occurred, mainly due to improved understanding of the pathophysiology and advances in surgical techniques. Although the mainstay of diabetic Charcot foot management is still nonoperative, surgical reconstruction using internal and external fixation techniques is indicated in patients with progressive deformity, instability, recurrent ulceration, and impending compromise of the soft tissue envelope. The ultimate goal of treatment, whether nonsurgical or surgical, is to achieve a stable, plantigrade foot that can be accommodated with appropriate shoe wear and orthotics. Various surgical procedures are described.
AB - Over the past two decades, a gradual trend toward more aggressive management of diabetic Charcot neuroarthropathy has occurred, mainly due to improved understanding of the pathophysiology and advances in surgical techniques. Although the mainstay of diabetic Charcot foot management is still nonoperative, surgical reconstruction using internal and external fixation techniques is indicated in patients with progressive deformity, instability, recurrent ulceration, and impending compromise of the soft tissue envelope. The ultimate goal of treatment, whether nonsurgical or surgical, is to achieve a stable, plantigrade foot that can be accommodated with appropriate shoe wear and orthotics. Various surgical procedures are described.
KW - Charcot
KW - Diabetes
KW - Foot
KW - Orthopaedic surgery
UR - http://www.scopus.com/inward/record.url?scp=84883218447&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84883218447&partnerID=8YFLogxK
U2 - 10.1016/j.mcna.2013.03.013
DO - 10.1016/j.mcna.2013.03.013
M3 - Review article
C2 - 23992898
AN - SCOPUS:84883218447
VL - 97
SP - 873
EP - 882
JO - Medical Clinics of North America
JF - Medical Clinics of North America
SN - 0025-7125
IS - 5
ER -