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Foot (Edinb). 2018 Sep;36:59-66. doi: 10.1016/j.foot.2018.02.001. Epub 2018 Feb 17.

Surgical treatment for chronic Charcot neuroarthropathy.

Author information

1
Università Cattolica del Sacro Cuore, Italy. Electronic address: dottorgalli@yahoo.it.
2
Università Cattolica del Sacro Cuore, Italy. Electronic address: jekoide80@yahoo.it.
3
Università Cattolica del Sacro Cuore, Italy. Electronic address: lele.vitiello@gmail.com.
4
Università Cattolica del Sacro Cuore, Italy. Electronic address: andrea.flex@unicatt.it.
5
Università Cattolica del Sacro Cuore, Italy. Electronic address: scaputo@rm.unicatt.it.
6
Università Cattolica del Sacro Cuore, Italy. Electronic address: dario.pitocco@policlinicogemelli.it.

Abstract

Charcot Neuro-arthropathy (CN) is a condition characterized by a progressive derangement of the joints, in individuals affected with sensitive and autonomic neuropathy. The pathogenesis of CN is multifactorial as neuropathy is a necessary, but insufficient condition for the onset of the disease. The most important indication for surgical treatment of Charcot foot is a severe deformity that compromises the functionality of the limb, causing a high risk for ulceration, infection and amputation. The goal in Charcot foot treatment is to obtain and maintain the correction of a severe deformity and/or prevent its development. There are many surgical approach to the CN, such as exostectomy, arthrodesis with internal or external fixation and amputation. Every method has a different indication and specific complication. The right surgical approach in the CN is a real challenge for orthopedic surgeon that need a complete knowing of technique, material and complication.

KEYWORDS:

Charcot neuroarthropathy; Diabetes; Foot

PMID:
30368193
DOI:
10.1016/j.foot.2018.02.001
[Indexed for MEDLINE]

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