用于治疗足踝夏科氏神经关节病的截骨术

Osteotomies for the Management of Charcot Neuroarthropathy of the Foot and Ankle.

作者信息

Scott Ryan T, DeCarbo William T, Hyer Christopher F

机构信息

Department of Orthopedics, The CORE Institute, 18444 N 25th Avenue, Unit 320, Phoenix, AZ 85023, USA.

The Orthopedic Group, Pittsburgh, PA, USA.

出版信息

Clin Podiatr Med Surg. 2015 Jul;32(3):405-18. doi: 10.1016/j.cpm.2015.03.004.

DOI:10.1016/j.cpm.2015.03.004

PMID:26117575

Abstract

Patients with diabetic neuropathy that develop unstable Charcot neuroarthropathy not only have an autoimmune disease that prolongs the healing process, they also often have an inability to maintain a non-weight bearing status. Charcot neuroarthopathy is often devastating to the structure and stability of the foot and ankle. This disease may require permanent bracing, reconstructive surgical stabilization, and in some cases lower leg amputation. Successful management of Charcot neuroarthopathy requires diligence and surveillance by physician and patient alike.

摘要

患有糖尿病性神经病变并发展为不稳定型夏科氏神经关节病的患者，不仅患有会延长愈合过程的自身免疫性疾病，而且往往无法保持非负重状态。夏科氏神经关节病常常会对足踝的结构和稳定性造成严重破坏。这种疾病可能需要长期支具固定、重建手术稳定，在某些情况下还需要小腿截肢。成功管理夏科氏神经关节病需要医生和患者共同努力并进行监测。