Panagakos Panagiotis, Ullom Nathan, Boc Steven F
Foot and Ankle Care Associates, LLC, Hahnemann University Hospital, Overlook Hospital, Staten Island, NY 10305, USA.
Clin Podiatr Med Surg. 2012 Jan;29(1):115-35. doi: 10.1016/j.cpm.2011.10.001. Epub 2011 Dec 10.
The principles of fusion of a Charcot joint arise from the assertion that successful fusion requires removal of all cartilage, debris, and sclerotic bone. The authors believe that reconstruction can prevent amputation in patients who have unbraceable or unstable deformities, or recurrent ulcerations. The goal with any Charcot reconstruction procedure is to achieve a plantigrade foot free of ulceration, and to prevent any future collapse, deformity, or ulcerations. The authors strongly believe arthrodesis of unstable joints of the Charcot neuropathic foot can lead to limb salvage and better quality of life.
夏科氏关节融合的原则源于这样一种观点，即成功的融合需要去除所有软骨、碎片和硬化骨。作者认为，重建可以防止患有无法使用支具或不稳定畸形或复发性溃疡的患者截肢。任何夏科氏重建手术的目标都是实现无溃疡的足底负重位足，并防止未来出现任何塌陷、畸形或溃疡。作者坚信，夏科氏神经病变足不稳定关节的关节固定术可实现肢体挽救并提高生活质量。
