title: Orthopaedic surgery and the diabetic Charcot foot.
abstract: Many surgical and nonsurgical options exist with the aim of improving quality of life and preventing amputation in patients with CN. A multidisciplinary approach is necessary to achieve the best outcomes in this high-risk group. Modern advanced diagnostic and imaging techniques have improved knowledge regarding the biomechanics, biology, and pathophysiology of CN. Despite these advances, surgical management has lagged behind and is based largely on retrospective case series and expert opinion. Although the surgeons of today are better equipped to manage CN, the optimal timing and specific method of surgical treatment have yet to be defined. Multicenter, prospective studies may be the best way to study this relatively uncommon problem.
authors.affiliation: University of Pittsburgh Medical Center Comprehensive Foot and Ankle Center, Pittsburgh, PA, USA.
authors.forename: Wei
authors.initials: W
authors.lastname: Shen
authors.forename: Dane
authors.initials: D
authors.lastname: Wukich
mesh_terms: D000671:Amputation, Surgical; D001177:Arthropathy, Neurogenic / Q000150:complications / Q000601:surgery*; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery*; D019317:Evidence-Based Medicine; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Charcot; Diabetes; Foot; Orthopaedic surgery