Complex reconstruction of the diabetic foot and ankle
Reconstruction of the diabetic foot presents significant challenges for the surgeon. The goals of treatment are correction of deformity as well as elimination of infection, with production of a stable, plantigrade foot. Certainly not all patients with Charcot deformities require reconstruction. Many...
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Published in | The American journal of surgery Vol. 187; no. 5; pp. S81 - S86 |
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Main Authors | , |
Format | Journal Article Conference Proceeding |
Language | English |
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New York, NY
Elsevier Inc
01.05.2004
Elsevier Elsevier Limited |
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Abstract | Reconstruction of the diabetic foot presents significant challenges for the surgeon. The goals of treatment are correction of deformity as well as elimination of infection, with production of a stable, plantigrade foot. Certainly not all patients with Charcot deformities require reconstruction. Many can be effectively managed with proper shoe modifications with orthoses. Bracing is also effective in providing support and in preventing further deformity. Surgical treatment is indicated for patients with recurrent ulceration or an unstable foot. Reconstruction of the Charcot foot should eliminate deformity and remove “high-pressure” areas of the foot and ankle. Achieving these goals should help prevent ulceration and infection, thereby avoiding the most devastating complication of the Charcot foot: amputation. |
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AbstractList | Reconstruction of the diabetic foot presents significant challenges for the surgeon. The goals of treatment are correction of deformity as well as elimination of infection, with production of a stable, plantigrade foot. Certainly not all patients with Charcot deformities require reconstruction. Many can be effectively managed with proper shoe modifications with orthoses. Bracing is also effective in providing support and in preventing further deformity. Surgical treatment is indicated for patients with recurrent ulceration or an unstable foot. Reconstruction of the Charcot foot should eliminate deformity and remove "high-pressure" areas of the foot and ankle. Achieving these goals should help prevent ulceration and infection, thereby avoiding the most devastating complication of the Charcot foot: amputation. |
Author | Garapati, Rajeev Weinfeld, Steven B |
Author_xml | – sequence: 1 givenname: Rajeev surname: Garapati fullname: Garapati, Rajeev organization: Division of Foot and Ankle Surgery, Department of Orthopedic Surgery, Mount Sinai Medical Center, 5 East 98th Street, Box 1188, New York, New York 10029, USA – sequence: 2 givenname: Steven B surname: Weinfeld fullname: Weinfeld, Steven B email: steven.weinfeld@mountsinai.org organization: Division of Foot and Ankle Surgery, Department of Orthopedic Surgery, Mount Sinai Medical Center, 5 East 98th Street, Box 1188, New York, New York 10029, USA |
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Keywords | Endocrinopathy Ankle Medicine Treatment Surgery Diabetes mellitus Complexes Foot |
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SubjectTerms | Ankle Ankle Joint - surgery Arthropathy, Neurogenic - complications Arthropathy, Neurogenic - surgery Biological and medical sciences Blood Diabetes Diabetic Foot - complications Diabetic Foot - surgery Feet Foot Deformities, Acquired - complications Foot Deformities, Acquired - surgery Foot diseases Fractures General aspects Humans Infections Medical imaging Medical sciences Orthopedic Procedures - methods Patients Peripheral neuropathy Surgery Syphilis Tendons Ulcers X-rays |
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Title | Complex reconstruction of the diabetic foot and ankle |
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