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An Overview of Internal and External Fixation Methods for the Diabetic Charcot Foot and Ankle.
Clin Podiatr Med Surg. 2017 Jan; 34(1):25-31.CP

Abstract

Diabetic Charcot neuroarthropathy (DCN) of the foot and ankle is a challenging disease with regard to clinical presentation, pathogenesis, and prognosis. Its surgical management is equally difficult to interpret based on the wide array of options available. In the presence of an ulceration or concomitant osteomyelitis, internal fixation by means of screws, plates, or intramedullary nailing needs to be avoided when feasible. External fixation becomes a great surgical tool when managing DCN with concomitant osteomyelitis. This article describes internal and external fixation methods along with available literature to enlighten surgeons faced with treating this complex condition.

Authors+Show Affiliations

Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA. Electronic address: zgonis@uthscsa.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27865312

Citation

Ramanujam, Crystal L., and Thomas Zgonis. "An Overview of Internal and External Fixation Methods for the Diabetic Charcot Foot and Ankle." Clinics in Podiatric Medicine and Surgery, vol. 34, no. 1, 2017, pp. 25-31.
Ramanujam CL, Zgonis T. An Overview of Internal and External Fixation Methods for the Diabetic Charcot Foot and Ankle. Clin Podiatr Med Surg. 2017;34(1):25-31.
Ramanujam, C. L., & Zgonis, T. (2017). An Overview of Internal and External Fixation Methods for the Diabetic Charcot Foot and Ankle. Clinics in Podiatric Medicine and Surgery, 34(1), 25-31. https://doi.org/10.1016/j.cpm.2016.07.004
Ramanujam CL, Zgonis T. An Overview of Internal and External Fixation Methods for the Diabetic Charcot Foot and Ankle. Clin Podiatr Med Surg. 2017;34(1):25-31. PubMed PMID: 27865312.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An Overview of Internal and External Fixation Methods for the Diabetic Charcot Foot and Ankle. AU - Ramanujam,Crystal L, AU - Zgonis,Thomas, Y1 - 2016/08/31/ PY - 2016/11/21/entrez PY - 2016/11/21/pubmed PY - 2017/6/1/medline KW - Charcot neuroarthropathy KW - Diabetic Charcot foot KW - Diabetic neuropathy KW - External fixation KW - Internal fixation KW - Reconstruction SP - 25 EP - 31 JF - Clinics in podiatric medicine and surgery JO - Clin Podiatr Med Surg VL - 34 IS - 1 N2 - Diabetic Charcot neuroarthropathy (DCN) of the foot and ankle is a challenging disease with regard to clinical presentation, pathogenesis, and prognosis. Its surgical management is equally difficult to interpret based on the wide array of options available. In the presence of an ulceration or concomitant osteomyelitis, internal fixation by means of screws, plates, or intramedullary nailing needs to be avoided when feasible. External fixation becomes a great surgical tool when managing DCN with concomitant osteomyelitis. This article describes internal and external fixation methods along with available literature to enlighten surgeons faced with treating this complex condition. SN - 1558-2302 UR - https://www.unboundmedicine.com/medline/citation/27865312/An_Overview_of_Internal_and_External_Fixation_Methods_for_the_Diabetic_Charcot_Foot_and_Ankle_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891-8422(16)30070-2 DB - PRIME DP - Unbound Medicine ER -