Negative-pressure wound therapy in the management of diabetic Charcot foot and ankle wounds.
As the prevalence of diabetes mellitus continues to rise, innovative medical and surgical treatment options have increased dramatically to address diabetic-related foot and ankle complications. Among the most challenging clinical case scenarios is Charcot neuroarthropathy associated with soft tissue loss and/or osteomyelitis. In this review article, the authors present a review of the most common utilizations of negative-pressure wound therapy as an adjunctive therapy or combined with plastic surgery as it relates to the surgical management of diabetic Charcot foot and ankle wounds.
University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Crystal L
CL
Ramanujam
John J
JJ
Stapleton
Thomas
T
Zgonis
Charcot foot; diabetes mellitus; external fixation; negative-pressure wound therapy; neuropathy; plastic surgery