Abstract
BACKGROUND
Charcot neuroarthropathy is one of the more devastating complications of diabetes. It is a progressive, destructive condition that is characterized by acute fracture, dislocation, and joint destruction in weight-bearing neuropathic foot. In its acute phase, it is often misdiagnosed and can lead to several deformities such as ulcerations and amputation. Early diagnosis and management is, therefore, imperative to avoid rapid progression.
OBJECTIVES
Review current literature on the diagnosis and management of diabetic patients with Charcot neuroarthropathy.
STUDY DESIGN
Narrative review.
METHODS
Particular attention is directed to the role of surgical management in achieving long term osseous stability and alignment so that appropriate footwear and bracing are possible.
CONCLUSION
Charcot neuroarthropathy is a serious and potentially limb-threatening lower extremity late complication of diabetes. Correct timing, adequate fixation and a long post-operative weightbearing period are key to optimizing reconstructive surgery.
CLINICAL RELEVANCE
Primary care providers who treat diabetic patients should be cognizant of the possible complication among patients with diabetic neuropathy of which includes Charcot neuroarthropathy. In this paper, discussion is provided on a rational approach to functional limb salvage with various surgical techniques when non-operative management fails.
TY - JOUR
T1 - Surgical management of Charcot neuroarthropathy.
A1 - Idusuyi,Osaretin B,
PY - 2015/1/24/entrez
PY - 2015/1/24/pubmed
PY - 2015/9/29/medline
KW - Chronic illness
KW - diabetes
KW - orthopedic surgery
KW - surgical methods
KW - the diabetic foot
SP - 61
EP - 72
JF - Prosthetics and orthotics international
JO - Prosthet Orthot Int
VL - 39
IS - 1
N2 - BACKGROUND: Charcot neuroarthropathy is one of the more devastating complications of diabetes. It is a progressive, destructive condition that is characterized by acute fracture, dislocation, and joint destruction in weight-bearing neuropathic foot. In its acute phase, it is often misdiagnosed and can lead to several deformities such as ulcerations and amputation. Early diagnosis and management is, therefore, imperative to avoid rapid progression. OBJECTIVES: Review current literature on the diagnosis and management of diabetic patients with Charcot neuroarthropathy. STUDY DESIGN: Narrative review. METHODS: Particular attention is directed to the role of surgical management in achieving long term osseous stability and alignment so that appropriate footwear and bracing are possible. CONCLUSION: Charcot neuroarthropathy is a serious and potentially limb-threatening lower extremity late complication of diabetes. Correct timing, adequate fixation and a long post-operative weightbearing period are key to optimizing reconstructive surgery. CLINICAL RELEVANCE: Primary care providers who treat diabetic patients should be cognizant of the possible complication among patients with diabetic neuropathy of which includes Charcot neuroarthropathy. In this paper, discussion is provided on a rational approach to functional limb salvage with various surgical techniques when non-operative management fails.
SN - 1746-1553
UR - https://www.unboundmedicine.com/medline/citation/25614502/Surgical_management_of_Charcot_neuroarthropathy_
DB - PRIME
DP - Unbound Medicine
ER -
