Abstract
Foot and ankle ulcerations in patients with diabetic Charcot neuroarthropathy (DCN) occur frequently and can be challenging to address surgically when conservative care fails. Patients with acute or chronic diabetic foot ulcers (DFU) are at continued risk for development of osteomyelitis, septic arthritis, gas gangrene, and potential lower extremity amputation. Concurrent vasculopathy and peripheral neuropathy as well as uncontrolled medical comorbidities complicate the treatment approach. In addition, pathomechanical forces left untreated may contribute to DFU recurrence in this patient population. This article outlines in detail the stepwise approach and options available for durable soft tissue coverage in the DCN patient.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 69-76 |
| Number of pages | 8 |
| Journal | Clinics in Podiatric Medicine and Surgery |
| Volume | 34 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2017 |
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Keywords
- Charcot neuroarthropathy
- Diabetic Charcot foot
- Diabetic foot ulcer
- Diabetic neuropathy
- Plastic surgery
- Reconstruction
- Soft tissue pyramid
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Soft Tissue Reconstruction Pyramid for the Diabetic Charcot Foot. / Capobianco, Claire M.; Zgonis, Thomas.
In: Clinics in Podiatric Medicine and Surgery, Vol. 34, No. 1, 01.01.2017, p. 69-76.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Soft Tissue Reconstruction Pyramid for the Diabetic Charcot Foot
AU - Capobianco, Claire M.
AU - Zgonis, Thomas
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Foot and ankle ulcerations in patients with diabetic Charcot neuroarthropathy (DCN) occur frequently and can be challenging to address surgically when conservative care fails. Patients with acute or chronic diabetic foot ulcers (DFU) are at continued risk for development of osteomyelitis, septic arthritis, gas gangrene, and potential lower extremity amputation. Concurrent vasculopathy and peripheral neuropathy as well as uncontrolled medical comorbidities complicate the treatment approach. In addition, pathomechanical forces left untreated may contribute to DFU recurrence in this patient population. This article outlines in detail the stepwise approach and options available for durable soft tissue coverage in the DCN patient.
AB - Foot and ankle ulcerations in patients with diabetic Charcot neuroarthropathy (DCN) occur frequently and can be challenging to address surgically when conservative care fails. Patients with acute or chronic diabetic foot ulcers (DFU) are at continued risk for development of osteomyelitis, septic arthritis, gas gangrene, and potential lower extremity amputation. Concurrent vasculopathy and peripheral neuropathy as well as uncontrolled medical comorbidities complicate the treatment approach. In addition, pathomechanical forces left untreated may contribute to DFU recurrence in this patient population. This article outlines in detail the stepwise approach and options available for durable soft tissue coverage in the DCN patient.
KW - Charcot neuroarthropathy
KW - Diabetic Charcot foot
KW - Diabetic foot ulcer
KW - Diabetic neuropathy
KW - Plastic surgery
KW - Reconstruction
KW - Soft tissue pyramid
UR - http://www.scopus.com/inward/record.url?scp=84994894850&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994894850&partnerID=8YFLogxK
U2 - 10.1016/j.cpm.2016.07.008
DO - 10.1016/j.cpm.2016.07.008
M3 - Review article
C2 - 27865316
AN - SCOPUS:84994894850
VL - 34
SP - 69
EP - 76
JO - Clinics in Podiatric Medicine and Surgery
JF - Clinics in Podiatric Medicine and Surgery
SN - 0891-8422
IS - 1
ER -