Exostectomy for Symptomatic Bony Prominences in Diabetic Charcot Feet

Brodsky, James W.; Rouse, Andrew

doi:10.1097/00003086-199311000-00005

Cited by 142 publications

(63 citation statements)

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“…Carefully selected surgical procedures such as arthroplasties of affected joints with limited joint mobility in the forefoot may have value in promoting wound healing [51]. Furthermore, exostectomy procedures have been reported to be relatively reliable methods of treatment for rigid, prominent deformities secondary to Charcot's neuro-osteoarthropathy [58,59].…”

Section: Surgical Offloadingmentioning

confidence: 99%

The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

Bus

Valk

Deursen

et al. 2008

Diabetes Metab. Res. Rev.

223

182

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SummaryBackground Footwear and offloading techniques are commonly used in clinical practice for the prevention and treatment of foot ulcers in diabetes, but the evidence base to support this use is not well known. The goal of this review was to systematically assess the literature and to determine the available evidence on the use of footwear and offloading interventions for ulcer prevention, ulcer treatment, and plantar pressure reduction in the diabetic foot.

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Section: Surgical Offloadingmentioning

confidence: 99%

The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

Bus

Valk

Deursen

et al. 2008

Diabetes Metab. Res. Rev.

223

182

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show abstract

“…We do not advocate routine surgery in the diabetic foot to correct deformities. However, in appropriate cases a simple procedure, such as excision of abnormally weight-bearing bone [117,125] can allow the use of appropriate footwear and reduce the chance of further foot ulceration.…”

Section: Managementmentioning

confidence: 99%

Charcot neuroarthropathy in diabetes mellitus

et al. 2002

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Charcot neuroarthropathy has been recognised for over 130 years and yet it remains a major cause of morbidity for patients with diabetes mellitus and a continuing challenge for physicians. It is rare but it seems to be increasing in prevalence and this provides hope that with larger studies it will soon be possible to clarify the natural history and optimal treatment regimens. The underlying cause is thought to be trauma in a neuropathic foot that leads to a complex series of pathological processes culminating in bone and joint destruction and subsequent deformity. The acute reaction is often misdiagnosed and many patients present late with established deformity. Even when the diagnosis is considered at an early stage there are no definitive criteria or tests to confirm charcot neuroarthropathy and a high index of suspicion is necessary in any diabetic patient with a swollen warm foot in the presence of somatic or autonomic neuropathy. Treatment has traditionally involved the use of various methods to avoid weight bearing but recent work has begun to suggest that bisphosphonates might be able to arrest the acute process. In the long term, treatment involves a multidisciplinary approach aimed at providing appropriate footwear to reduce plantar pressures and avoid foot ulceration; in some circumstances this involves surgical correction of deformities before adequate footwear can be supplied. Further studies of the emerging treatments for Charcot neuroarthropathy are needed to provide long-term outcome data on morbidity and deformity.

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“…Ainsi un pied en « tampon buvard », secondaire à une atteinte du Lisfranc ou du médio-pied, peut parfois justifier soit une exostosectomie (« exostectomy », « bumpectomy », allant d'une résection simple du conflit osseux plantaire à une ablation complète du cuboïde), soit même une arthrodèse complexe par voie plantaire [14,15]. L'ostectomie est volontiers indiquée dans les ulcérations associées à une ostéite (figure 3).…”

Section: Au Stade Séquellaire (Phase 3)unclassified

Pied de Charcot diabétique

Besse

Leemrijse

2010

Les Grandes Déformations Du Pied De l'Enfant Et De l'Adulte

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Exostectomy for Symptomatic Bony Prominences in Diabetic Charcot Feet

Cited by 142 publications

References 0 publications

The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

Charcot neuroarthropathy in diabetes mellitus

Pied de Charcot diabétique

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