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Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy.
Foot Ankle Int. 2002 Feb; 23(2):130-4.FA

Abstract

The ulcerated foot in individuals with Charcot neuroarthropathy presents a complex problem when correction of the deformity is necessary but the presence of infection precludes the use of internal fixation. We reviewed 11 patients with midfoot Charcot neuroarthropathy, collapse, and ulceration who were at risk for amputation. These patients underwent operative debridement, corrective osteotomy, external skeletal fixation and culture-directed antibiotic therapy as a limb salvage procedure. Patients were transitioned from the external fixator (average 57 days) to total contact casting (average 131 days) and all subsequently progressed to therapeutic footwear in 12 to 49 months of follow-up (average 24 months), except one patient whose medical decline resulted in bedrest. We believe that when performed in properly selected patients, this procedure presents an alternative to amputation and, via corrective osteotomy, results in a shoe-able, functional foot that is potentially less prone to ulceration.

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Authors+Show Affiliations

Farber DC
Pennsylvania State University College of Medicine, Department of Orthopaedics and Rehabilitation, Hershey 17033-0850, USA. dcf@alum.dartmouth.org
Juliano PJ
No affiliation info available
Cavanagh PR
No affiliation info available
Ulbrecht J
No affiliation info available
Caputo G
No affiliation info available

MeSH

AdultAgedAnti-Bacterial AgentsArthropathy, NeurogenicCombined Modality TherapyDebridementDiabetic FootExternal FixatorsFemaleFollow-Up StudiesHumansLimb SalvageMaleMiddle AgedOsteotomyRadiographyRetrospective StudiesRisk AssessmentTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11858333

Citation

Farber, Daniel C., et al. "Single Stage Correction With External Fixation of the Ulcerated Foot in Individuals With Charcot Neuroarthropathy." Foot & Ankle International, vol. 23, no. 2, 2002, pp. 130-4.
Farber DC, Juliano PJ, Cavanagh PR, et al. Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy. Foot Ankle Int. 2002;23(2):130-4.
Farber, D. C., Juliano, P. J., Cavanagh, P. R., Ulbrecht, J., & Caputo, G. (2002). Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy. Foot & Ankle International, 23(2), 130-4.
Farber DC, et al. Single Stage Correction With External Fixation of the Ulcerated Foot in Individuals With Charcot Neuroarthropathy. Foot Ankle Int. 2002;23(2):130-4. PubMed PMID: 11858333.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy. AU - Farber,Daniel C, AU - Juliano,Paul J, AU - Cavanagh,Peter R, AU - Ulbrecht,Jan, AU - Caputo,Gregory, PY - 2002/2/23/pubmed PY - 2002/5/11/medline PY - 2002/2/23/entrez SP - 130 EP - 4 JF - Foot & ankle international JO - Foot Ankle Int VL - 23 IS - 2 N2 - The ulcerated foot in individuals with Charcot neuroarthropathy presents a complex problem when correction of the deformity is necessary but the presence of infection precludes the use of internal fixation. We reviewed 11 patients with midfoot Charcot neuroarthropathy, collapse, and ulceration who were at risk for amputation. These patients underwent operative debridement, corrective osteotomy, external skeletal fixation and culture-directed antibiotic therapy as a limb salvage procedure. Patients were transitioned from the external fixator (average 57 days) to total contact casting (average 131 days) and all subsequently progressed to therapeutic footwear in 12 to 49 months of follow-up (average 24 months), except one patient whose medical decline resulted in bedrest. We believe that when performed in properly selected patients, this procedure presents an alternative to amputation and, via corrective osteotomy, results in a shoe-able, functional foot that is potentially less prone to ulceration. SN - 1071-1007 UR - https://www.unboundmedicine.com/medline/citation/11858333/Single_stage_correction_with_external_fixation_of_the_ulcerated_foot_in_individuals_with_Charcot_neuroarthropathy_ L2 - https://journals.sagepub.com/doi/10.1177/107110070202300209?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -