Surgical Correction of Foot Deformity in Charcot Osteoarthropathy

Дмитриенко, А. А.; Аничкин, В. В.; Tretyakov, A. A.; Курек, М. Ф.; Makanin, A.Y.

doi:10.18484/2305-0047.2017.5.535

Cited by 2 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…В острый период ДНОАП операции не проводились, т.к., по нашему мнению, выраженный отек мог спровоцировать большую вероятность осложнений в послеоперацион-ном периоде, а незавершенный процесс разрушения костной ткани -привести к рецидиву деформации и/ или нестабильности фиксаторов при реконструктивных операциях. Данный взгляд на выбор сроков операции описан в литературе, и большинство авторов с ним солидарны [13][14][15][16][17].…”

Section: Discussionunclassified

Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy

et al. 2020

View full text Add to dashboard Cite

Diabetic osteoarthropathy is one of the most difficult complication of diabetes mellitus, requiring the cooperation of a many of specialitys, including traumatologists - orthopedists. However, there is no single approach to the choice of orthopedic treatment tactics for this group of patients. From 2015 to 2018 inclusive, there were 35 patients with diabetic osteoarthropathy that received conservative or surgical orthopedic treatment. 11 patients received conservative orthopedic treatment; 24 patients received surgical treatment. A total of 26 surgical interventions were performed. Two types of surgical interventions were performed: 1) resection of the protruding fragment of one or another bone of the tarsus - 12 operations 2) reconstructive surgery aimed at correcting gross deformation of the middle and / or hindfoot - 14 operations. Along with general clinical examination, all patients underwent orthopedic examination, determining the degree of blood supply disturbance. A differentiated approach to choosing the method of orthopedic treatment of the presented group of patients allowed to restore limb supportability, ensure stability in the ankle joint and joints of the middle foot, create conditions for healing and prevention of relapse of the ulcer. The experience gained allowed us to offer indications for a particular method of orthopedic treatment of foot deformities in diabetic osteoarthropathy, depending on the stage of the pathological process, its location, the severity of the deformation, and the clinical course of this pathology.

show abstract

Section: Discussionunclassified