医学
外科
截肢
骨科手术
糖尿病足
脊柱骨关节病
糖尿病
心理干预
关节病
足踝手术
脚(韵律)
系统回顾
脚踝
前脚
梅德林
关节融合术
骨关节炎
替代医学
病理
哲学
内分泌学
精神科
语言学
作者
Pejma Shazadeh Safavi,Daniel C. Jupiter,Vinod K. Panchbhavi
标识
DOI:10.1053/j.jfas.2017.06.011
摘要
Charcot neuroarthropathy of the foot, or Charcot foot, is a pathologic entity of the foot, associated with diabetes mellitus. Owing to the increase of diabetes mellitus in developed nations worldwide, the prevalence of Charcot foot has been increasing. The initial treatment of Charcot foot is often conservative, with methods including bracing, casting, and the use of customized orthopedic shoes. However, many cases of Charcot foot eventually require surgery, because the consequent destabilization of the foot associated with bone, joint, and nerve injury due to the pathology eventually leave patients unable to walk independently. The present systematic review analyzed the published data regarding surgical interventions for midfoot Charcot deformities and estimated the rates of common complications occurring with the surgical modalities studied. The main outcomes of interest analyzed in the present study were postoperative amputation and bony fusion. The included cohort of patients with Charcot foot was very heterogeneous in terms of the demographic and comorbid characteristics. However, even with this heterogeneity, the present study should provide useful information to surgeons in terms of the outcomes after some of the common surgical procedures for midfoot Charcot.
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