Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Managing Acute Fore- and Midfoot Fractures in Patients with Diabetes (2022) |
Auteurs : | Choon Chiet Hong ; Stefan Rammelt |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 27, n° 3, September 2022) |
Article en page(s) : | p. 617-637 |
Note générale : | https://doi.org/10.1016/j.fcl.2022.02.001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Deformation ; Interventions chirurgicales mini-invasives ; Metatarse ; Pied diabetique ; Ulceration |
Résumé : |
- Few is written and investigated about the management of acute and subacute fractures and dislocations at the fore- and midfoot in patients with diabetes who are at higher risk of complications than patients with nondiabetes.
- In compliant patients with good diabetic control as evident by the HbA1c and blood glucose level trends, operative indications can be similar to patients without diabetes. - In patients with poorly controlled diabetes with acute fractures, extreme caution with medical optimization should be exercised because these individuals are often faced with potential risks of deformity, ulceration, and amputation whether treated operatively or not. Stable internal fixation in case of surgical treatment and prolonged offloading independent of the choice of treatment is the mainstay of management in these patients. - The main goals of treatment of manifest Charcot neuroarthropathy (CN) are to achieve a plantigrade, stable foot that is infection- and ulcer-free and ambulant with orthopedic shoes. If operative treatment is chosen for gross instability or deformity leading to ulceration or inability to walk, the concept of superconstructs in combination with prolonged protection in a well-padded total contact cast (TCC) is applied. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S108375152200016X |