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Titre : | Surgical Considerations for the Acute and Chronic Charcot Neuroarthropathy of the Foot and Ankle (2022) |
Auteurs : | Alan C. Stuto ; John J. Stapleton |
Type de document : | Article |
Dans : | Clinics in Podiatric Medicine and Surgery (Vol. 39, n°2, April 2022) |
Article en page(s) : | p. 331-341 |
Note générale : | https://doi.org/10.1016/j.cpm.2021.11.005 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthropathie nerveuse ; Cheville ; Neuropathies diabétiques ; Pied ; Plaies et blessures ; Procédures de chirurgie opératoire |
Résumé : |
CN is a potentially limb-threatening condition. The goal of treatment is to provide a stable plantigrade foot that allows for functional ambulation and no ulceration. CN requires a clear understanding of the pathophysiology of the disease process as it progress from acute to chronic stages. When surgery is indicated, the choice of fixation, whether internal, external, or a combination of the two, should be applied to provide osseous stability that also accounts for anticipated problems and soft tissue concerns commonly seen in the management of this condition.
Despite the advances of fixation constructs, emphasis is still placed on basic surgical principles to achieve deformity correction through precise osteotomies and meticulous joint preparation for joint arthrodesis. Surgery for CN is not for all patients, and some patients may simply prefer amputation as opposed to the lengthy recovery involved with attempted limb salvage procedures. Thorough education and discussion with the patient on limb salvage options and amputation allow the patient to make an informed decision on their care. Also, complications can present among the surgical management of these patients, and achieving limb salvage is often dependent on the management of these complications. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0891842221001014 |