Surgical treatment of Charcot neuropathy.
Charcot neuroarthropathy, a chronic progressive destruction of joint integrity, is believed to result from a disturbance in pain and proprioceptive sensation. It is most commonly treated in patients with uncontrolled diabetes mellitus and dense peripheral neuropathy. Prevention, early diagnosis, and early treatment are key to a patient's successful outcome. Educating the patient is paramount to avoid further complications and subsequent amputations. This article describes the pathophysiology, staging, surgical treatment, and natural course of Charcot neuroarthropathy.
Zgonis
Thomas
T
Department of Orthopaedics, Podiatry Division, University of Texas Health Science Center, San Antonio, TX, USA.
Stapleton
John J
JJ
Jeffries
Luke C
LC
Girard-Powell
Valerie A
VA
Foster
Lynanne J
LJ
D001177:Arthropathy, Neurogenic / Q000175:diagnosis / Q000209:etiology / Q000451:nursing / Q000601:surgery*; D003646:Debridement / Q000379:methods / Q000451:nursing; D017719:Diabetic Foot / Q000150:complications; D018450:Disease Progression; D042241:Early Diagnosis; D016267:External Fixators; D006801:Humans; D009730:Nursing Assessment; D009871:Operating Room Nursing / Q000379:methods*; D010347:Patient Care Planning / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D016491:Peripheral Vascular Diseases / Q000150:complications; D011300:Preoperative Care / Q000379:methods / Q000451:nursing; D011322:Primary Prevention; D016879:Salvage Therapy / Q000379:methods / Q000451:nursing; D012720:Severity of Illness Index