Surgical reconstruction of charcot foot neuroarthropathy, a case based review

Title:

Surgical reconstruction of charcot foot neuroarthropathy, a case based review
Surgical reconstruction of charcot foot neuroarthropathy, a case based review

Creator:

Kučera, Tomáš, Šponer, Pavel, and Šrot, Jaromír

Contributor:

Kučera, Tomáš, Šponer, Pavel , 1969-, and Šrot, Jaromír

Identifier:

https://cdk.lib.cas.cz/client/handle/uuid:bmc15020401-803aaaaa-af61-43c6-a23d-fe407c35b418
uuid:bmc15020401-803aaaaa-af61-43c6-a23d-fe407c35b418
local:bmc15020401
http://actamedica.lfhk.cuni.cz/
doi: 10.14712/18059694.2014.51
local: bmc15020401

Subject:

staří, antibakteriální látky--aplikace a dávkování, artrodéza--metody, neuropatická artropatie--etiologie--patofyziologie--chirurgie, kombinovaná terapie, diabetes mellitus 1. typu--komplikace, diabetická noha--komplikace--patofyziologie--chirurgie, ženské pohlaví, noha--radiografie, lidé, záchrana končetiny--metody, osteotomie--metody, and výsledek terapie

Type:

model:article, article, Text, kazuistiky, časopisecké články, práce podpořená grantem, and TEXT

Format:

print, text, and regular print

Description:

Our case-based review focuses on limb salvage through operative management of Charcot neuroarthropathy of the diabetic foot. We describe a case, when a below-knee amputation was considered in a patient with chronic Charcot foot with a rocker-bottom deformity and chronic plantar ulceration. Conservative treatment failed. Targeted antibiotic therapy and operative management (Tendo-Achilles lengthening, resectional arthrodesis of Lisfranc and midtarsal joints, fixation with large-diameter axial screws, and plaster cast) were performed. On the basis of this case, we discuss options and drawbacks of surgical management. Our approach led to healing of the ulcer and correction of the deformity. Two years after surgery, we observed a significant improvement in patient's quality of life. Advanced diagnostic and imaging techniques, a better understanding of the biomechanics and biology of Charcot neuroarthropathy, and suitable osteosynthetic material enables diabetic limb salvage. and T. Kučera, P. Šponer, J. Šrot

Language:

English

Rights:

http://creativecommons.org/publicdomain/mark/1.0/
policy:public

Relation:

Acta medica (Hradec Králové) Universitas Carolina, Facultas Medica Hradec Králové--MED00010947

Source:

Acta medica (Hradec Králové) | 2014 Volume:57 | Number:3

Harvested from:

CDK

Metadata only:

false

Date:

2014