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Management of the Charcot Foot and Ankle: Nonreconstructive Surgery. [Review]

MedStar author(s):

Chen, Shirley

, MWHC

, Podiatric Surgery Residency

Miller, John D

, MWHC

, Podiatric Surgery Residency

Steinberg, John S

Citation: Clinics in Podiatric Medicine & Surgery. 39(4):559-570, 2022 Oct.PMID: 36180188Institution: MedStar Washington Hospital CenterDepartment: Podiatric Surgery Residency | Surgery/Podiatric SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Arthropathy, Neurogenic | *Diabetic Foot | *Osteomyelitis | Ankle Joint | Ankle/su [Surgery] | Arthropathy, Neurogenic/et [Etiology] | Diabetic Foot/co [Complications] | Diabetic Foot/su [Surgery] | Humans | Osteomyelitis/su [Surgery]Year: 2022 ISSN:

0891-8422

Name of journal: Clinics in podiatric medicine and surgeryAbstract: Diabetic neuroarthropathy is a complication of diabetes mellitus that results in instability of the foot, structural deformity, and soft-tissue breakdown. Commonly, midfoot collapse of the medial, lateral, or both longitudinal arches may result in increased plantar pressures and subsequent midfoot ulceration. Many of these wounds can be successfully managed with local wound care and off-loading; however, surgical intervention becomes necessary in cases of osteomyelitis or when the wound fails to heal despite conservative efforts. In cases where surgical reconstruction may not be indicated, nonreconstructive surgical efforts have shown effectiveness in resolving wounds and allowing patients to return to ambulatory lifestyles. This article serves as an update to current treatment recommendations for the nonreconstructive surgical management of Charcot neuroarthropathy. Copyright © 2022 Elsevier Inc. All rights reserved.All authors: Chen S, Miller JD, Steinberg JSFiscal year: FY2023 Digital Object Identifier:

https://dx.doi.org/10.1016/j.cpm.2022.05.003

Date added to catalog: 2022-10-27

Holdings ( 1 )
Title notes ( 2 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	36180188	Available		36180188

Diabetic neuroarthropathy is a complication of diabetes mellitus that results in instability of the foot, structural deformity, and soft-tissue breakdown. Commonly, midfoot collapse of the medial, lateral, or both longitudinal arches may result in increased plantar pressures and subsequent midfoot ulceration. Many of these wounds can be successfully managed with local wound care and off-loading; however, surgical intervention becomes necessary in cases of osteomyelitis or when the wound fails to heal despite conservative efforts. In cases where surgical reconstruction may not be indicated, nonreconstructive surgical efforts have shown effectiveness in resolving wounds and allowing patients to return to ambulatory lifestyles. This article serves as an update to current treatment recommendations for the nonreconstructive surgical management of Charcot neuroarthropathy. Copyright © 2022 Elsevier Inc. All rights reserved.

English