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.
Department of Orthopaedics, Podiatry Division, University of Texas Health Science Center, San Antonio, TX, USA.
Thomas
T
Zgonis
John J
JJ
Stapleton
Luke C
LC
Jeffries
Valerie A
VA
Girard-Powell
Lynanne J
LJ
Foster
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