A Revision Arthrodesis of Severe Charcot Foot with Intramedullary Nail: a Case Report and Literature Review
Autor: | Mohamed Said Bakayan, Abderrahim Zaizi, Mohammed Saleh Berrada, Moulay Omar Lamrani, Hicham Ahmed Benomar, Omar Krimch |
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Rok vydání: | 2019 |
Předmět: |
arthrodesis
medicine.medical_specialty business.industry Arthrodesis medicine.medical_treatment lcsh:R lcsh:Medicine Temporomandibular joint internal derangement charcot foot Surgery law.invention Bone remodeling Intramedullary rod External fixation medicine.anatomical_structure law Charcot foot medicine Initial treatment nail Ankle business Foot (unit) |
Zdroj: | Galician Medical Journal; Vol 26 No 1 (2019) Galician Medical Journal, Vol 26, Iss 1 (2019) Galician Medical Journal; Vol. 26 No. 1 (2019) Galician Medical Journal; Том 26 № 1 (2019) |
ISSN: | 2414-1518 2306-4285 |
DOI: | 10.21802/gmj.2019.1.8 |
Popis: | Diabetic Charcot foot is characterized by varying degrees of bone and joint disorganization secondary to underlying neuropathy, perturbations of bone metabolism and trauma. Offloading is the most important initial treatment recommendation. Surgery can be helpful in early stages involving acute fractures of the foot or ankle or in later stages when offloading is ineffective. Incorrect diagnosis and improper treatment often result in the extremity having to be amputated. There are several surgical procedures accepted in Charcot foot surgery. Their goal is to obtain a plantigrade foot and prevent recurrent ulcerations. Arthrodesis is a well-known surgical procedure that addresses severe joint derangement through a surgically induced bony fusion. In Charcot foot, arthrodesis is usually indicated when there is significant skeletal instability. This procedure can be done by internal or external fixation. |
Databáze: | OpenAIRE |
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