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Complex reconstruction of the diabetic foot and ankle.
Am J Surg. 2004 May; 187(5A):81S-86S.AJ

Abstract

Reconstruction of the diabetic foot presents significant challenges for the surgeon. The goals of treatment are correction of deformity as well as elimination of infection, with production of a stable, plantigrade foot. Certainly not all patients with Charcot deformities require reconstruction. Many can be effectively managed with proper shoe modifications with orthoses. Bracing is also effective in providing support and in preventing further deformity. Surgical treatment is indicated for patients with recurrent ulceration or an unstable foot. Reconstruction of the Charcot foot should eliminate deformity and remove "high-pressure" areas of the foot and ankle. Achieving these goals should help prevent ulceration and infection, thereby avoiding the most devastating complication of the Charcot foot: amputation.

Authors+Show Affiliations

Division of Foot and Ankle Surgery, Department of Orthopedic Surgery, Mount Sinai Medical Center, 5 East 98th Street, Box 1188, New York, New York 10029, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15147997

Citation

Garapati, Rajeev, and Steven B. Weinfeld. "Complex Reconstruction of the Diabetic Foot and Ankle." American Journal of Surgery, vol. 187, no. 5A, 2004, 81S-86S.
Garapati R, Weinfeld SB. Complex reconstruction of the diabetic foot and ankle. Am J Surg. 2004;187(5A):81S-86S.
Garapati, R., & Weinfeld, S. B. (2004). Complex reconstruction of the diabetic foot and ankle. American Journal of Surgery, 187(5A), 81S-86S.
Garapati R, Weinfeld SB. Complex Reconstruction of the Diabetic Foot and Ankle. Am J Surg. 2004;187(5A):81S-86S. PubMed PMID: 15147997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complex reconstruction of the diabetic foot and ankle. AU - Garapati,Rajeev, AU - Weinfeld,Steven B, PY - 2004/5/19/pubmed PY - 2004/6/16/medline PY - 2004/5/19/entrez SP - 81S EP - 86S JF - American journal of surgery JO - Am J Surg VL - 187 IS - 5A N2 - Reconstruction of the diabetic foot presents significant challenges for the surgeon. The goals of treatment are correction of deformity as well as elimination of infection, with production of a stable, plantigrade foot. Certainly not all patients with Charcot deformities require reconstruction. Many can be effectively managed with proper shoe modifications with orthoses. Bracing is also effective in providing support and in preventing further deformity. Surgical treatment is indicated for patients with recurrent ulceration or an unstable foot. Reconstruction of the Charcot foot should eliminate deformity and remove "high-pressure" areas of the foot and ankle. Achieving these goals should help prevent ulceration and infection, thereby avoiding the most devastating complication of the Charcot foot: amputation. SN - 0002-9610 UR - https://www.unboundmedicine.com/medline/citation/15147997/Complex_reconstruction_of_the_diabetic_foot_and_ankle_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S000296100300309X DB - PRIME DP - Unbound Medicine ER -