The management of Charcot midfoot deformities in diabetic patients

Title:

The management of Charcot midfoot deformities in diabetic patients
The management of Charcot midfoot deformities in diabetic patients

Creator:

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

Contributor:

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

Identifier:

https://cdk.lib.cas.cz/client/handle/uuid:bmc14059439-219fb4c9-0565-4ea4-b491-c7c787f86b8f
uuid:bmc14059439-219fb4c9-0565-4ea4-b491-c7c787f86b8f
local:bmc14059439
https://www.lfhk.cuni.cz/Faculty/Publications/Acta-Medica/Archive/2013/
local: bmc14059439

Subject:

neuropatická artropatie--komplikace--terapie, diabetická noha--komplikace--terapie, and lidé

Type:

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

Format:

print, text, and regular print

Description:

Charcot foot neuropathic osteoarthropathy is a disorder affecting the soft tissues, joints, and bones of the foot and ankle. The disease is triggered in a susceptible individual through a process of uncontrolled inflammation leading to osteolysis, progressive fractures and articular malpositioning due to joint subluxations and dislocations. The progression of the chronic deformity with a collapsed plantar arch leads to plantar ulcerations because of increased pressure on the plantar osseous prominences and decreased plantar sensation. Subsequent deep soft tissue infection and osteomyelitis may result in amputation. The Charcot foot in diabetes represents an important diagnostic and therapeutic challenge in clinical practice. Conservative treatment remains the standard of the care for most patients with neuropathic disorder. Offloading the foot and immobilization based on individual merit are essential and are the most important recommendations in the active acute stage of the Charcot foot. Surgical realignment with stabilization is recommended in severe progressive neuropathic deformities consisting of a collapsed plantar arch with a rocker-bottom foot deformity. and P. Sponer, T. Kucera, J. Brtková, J. Srot

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) | 2013 Volume:56 | Number:1

Harvested from:

CDK

Metadata only:

false

Date:

2013