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 |
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