Idusuyi Osaretin B
Division of Orthopedics, Southern Illinois School of Medicine, Orthopedic Center of Illinois, Springfield, IL, USA
Prosthet Orthot Int. 2015 Feb;39(1):61-72. doi: 10.1177/0309364614560939.
Charcot neuroarthropathy is one of the more devastating complications of diabetes. It is a progressive, destructive condition that is characterized by acute fracture, dislocation, and joint destruction in weight-bearing neuropathic foot. In its acute phase, it is often misdiagnosed and can lead to several deformities such as ulcerations and amputation. Early diagnosis and management is, therefore, imperative to avoid rapid progression.
Review current literature on the diagnosis and management of diabetic patients with Charcot neuroarthropathy.
Narrative review.
Particular attention is directed to the role of surgical management in achieving long term osseous stability and alignment so that appropriate footwear and bracing are possible.
Charcot neuroarthropathy is a serious and potentially limb-threatening lower extremity late complication of diabetes. Correct timing, adequate fixation and a long post-operative weightbearing period are key to optimizing reconstructive surgery.
Primary care providers who treat diabetic patients should be cognizant of the possible complication among patients with diabetic neuropathy of which includes Charcot neuroarthropathy. In this paper, discussion is provided on a rational approach to functional limb salvage with various surgical techniques when non-operative management fails.
夏科氏神经关节病是糖尿病较为严重的并发症之一。它是一种进行性、破坏性疾病，其特征为负重性神经病变足部出现急性骨折、脱位和关节破坏。在急性期，它常被误诊，并可导致多种畸形，如溃疡和截肢。因此，早期诊断和治疗对于避免病情快速进展至关重要。
综述糖尿病合并夏科氏神经关节病患者诊断和治疗的当前文献。
叙述性综述。
特别关注手术治疗在实现长期骨稳定性和对线方面的作用，以便能够使用合适的鞋具和支具。
夏科氏神经关节病是糖尿病严重且可能威胁肢体的晚期下肢并发症。正确的时机、充分的固定以及较长的术后负重期是优化重建手术的关键。
治疗糖尿病患者的初级保健提供者应认识到糖尿病神经病变患者可能出现的并发症，其中包括夏科氏神经关节病。本文讨论了非手术治疗失败时采用各种手术技术进行功能性肢体挽救的合理方法。
