Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
J Orthop Surg Res. 2010 Feb 11;5:7. doi: 10.1186/1749-799X-5-7.
Charcot neuroarthropathy is a destructive and often-limb threatening process that can affect patients with peripheral neuropathy of any etiology. Early recognition and appropriate management is crucial to prevention of catastrophic outcomes. Delayed diagnosis and subsequent pedal collapse often preclude successful conservative management of these deformities and necessitate surgical intervention for limb salvage. We review the current literature on surgical reconstruction of Charcot neuroarthropathy and present a case report of foot reconstruction with combined internal and external fixation methods.
夏科氏关节病是一种破坏性的、常导致肢体威胁的疾病，可影响任何病因导致的周围神经病变患者。早期识别和适当的管理对于预防灾难性结局至关重要。延迟诊断和随后的足塌陷常常使这些畸形的保守治疗无法成功，需要进行手术干预以挽救肢体。我们回顾了关于夏科氏关节病的外科重建的现有文献，并报告了一例采用内外固定相结合的方法进行足部重建的病例。
