Revisional Surgery of the Diabetic Charcot Foot and Ankle.

Patrick R Burns, Spencer J Monaco

Journal: Clinics in podiatric medicine and surgery 2017;34(1):77-92

PMID: 27865317

Full Text on Elsevier Science View on PubMed

Abstract

Charcot neuroarthropathy (CN) is a difficult problem for the foot and ankle surgeon. If surgery is required, little is known or available regarding the best methods and timing. When the initial attempt of reconstruction fails, revision of CN is even more demanding. One must take in to account all aspects, including nutrition, vascular status, infection control, short- and long-term blood glucose management, as well as other factors requiring laboratory monitoring and consult services. Once optimized, the biomechanics of the deformity can be addressed and decisions can be made on fixation devices.

Address: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; UPMC Podiatric Medicine and Surgery Residency, Pittsburgh, PA, USA. Electronic address: [email protected].; UPMC Podiatric Medicine and Surgery Residency, Pittsburgh, PA, USA.

DOI: 10.1016/j.cpm.2016.07.009

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MeSH Terms: Arthrodesis, Arthropathy, Neurogenic, Diabetic Foot, External Fixators, Female, Humans, Internal Fixators, Male, Reoperation, Treatment Failure