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Current concepts of Charcot foot in diabetic patients.
Foot (Edinb). 2016 Mar; 26:7-14.F

Abstract

The Charcot foot is an uncommon complication of neuropathy in diabetes. It is a disabling and devastating condition. The etiology of the Charcot foot is unknown, but it is characterized by acute inflammation with collapse of the foot and/or the ankle. Although the cause of this potentially debilitating condition is not known, it is generally accepted that the components of neuropathy that lead to foot complications must exist. When it is not detected early, a severe deformity will result in a secondary ulceration, infection, and amputation. Immobilization in the early stages is the key for success, but severe deformity may still develop. When severe deformity is present, bracing may be attempted but often patients will need surgical intervention. Good success has been shown with internal and external fixation. In patients with concomitant osteomyelitis, severe deformity, and/or soft tissue infection, a high amputation may be the best treatment of choice.

Authors+Show Affiliations

UT Southwestern Medical Center, Department of Plastic Surgery, Dallas, TX, USA. Electronic address: Javier.lafontaine@utsouthwestern.edu.UT Southwestern Medical Center, Department of Plastic Surgery, Dallas, TX, USA.Tameside Hospital NHS Foundation Trust, Lancashire, UK.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

26802944

Citation

La Fontaine, Javier, et al. "Current Concepts of Charcot Foot in Diabetic Patients." Foot (Edinburgh, Scotland), vol. 26, 2016, pp. 7-14.
La Fontaine J, Lavery L, Jude E. Current concepts of Charcot foot in diabetic patients. Foot (Edinb). 2016;26:7-14.
La Fontaine, J., Lavery, L., & Jude, E. (2016). Current concepts of Charcot foot in diabetic patients. Foot (Edinburgh, Scotland), 26, 7-14. https://doi.org/10.1016/j.foot.2015.11.001
La Fontaine J, Lavery L, Jude E. Current Concepts of Charcot Foot in Diabetic Patients. Foot (Edinb). 2016;26:7-14. PubMed PMID: 26802944.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Current concepts of Charcot foot in diabetic patients. AU - La Fontaine,Javier, AU - Lavery,Lawrence, AU - Jude,Edward, Y1 - 2015/11/25/ PY - 2014/06/27/received PY - 2014/08/20/revised PY - 2015/11/12/accepted PY - 2016/1/24/entrez PY - 2016/1/24/pubmed PY - 2017/1/10/medline KW - Ankle KW - Charcot KW - Diabetes KW - Foot KW - Neuroarthropathy SP - 7 EP - 14 JF - Foot (Edinburgh, Scotland) JO - Foot (Edinb) VL - 26 N2 - The Charcot foot is an uncommon complication of neuropathy in diabetes. It is a disabling and devastating condition. The etiology of the Charcot foot is unknown, but it is characterized by acute inflammation with collapse of the foot and/or the ankle. Although the cause of this potentially debilitating condition is not known, it is generally accepted that the components of neuropathy that lead to foot complications must exist. When it is not detected early, a severe deformity will result in a secondary ulceration, infection, and amputation. Immobilization in the early stages is the key for success, but severe deformity may still develop. When severe deformity is present, bracing may be attempted but often patients will need surgical intervention. Good success has been shown with internal and external fixation. In patients with concomitant osteomyelitis, severe deformity, and/or soft tissue infection, a high amputation may be the best treatment of choice. SN - 1532-2963 UR - https://www.unboundmedicine.com/medline/citation/26802944/Current_concepts_of_Charcot_foot_in_diabetic_patients_ DB - PRIME DP - Unbound Medicine ER -