Monaco Spencer, Burns Patrick, Toth Alissa
J Am Podiatr Med Assoc. 2016 Nov;106(6):445-448. doi: 10.7547/15-088.
Charcot's neuroarthropathy can have devastating consequences if left untreated or misdiagnosed. With progression of the disease from the acute to the chronic phase, substantial deformity and instability may result, leading to ulceration and a nonfunctional limb. The purpose of this case report is to present a staged reconstruction for active Charcot's neuroarthropathy involving the subtalar joint with complete dislocation that resulted in limb salvage and maintenance of limb function at 1-year follow-up. Although for many patients the mainstay of treatment for early Charcot's neuroarthropathy is conservative care with off-loading, early surgical correction that includes external fixation followed by definitive arthrodesis for select patients may be warranted.
夏科氏神经关节病若不治疗或误诊，可能会产生严重后果。随着疾病从急性期发展到慢性期，可能会出现严重畸形和关节不稳，进而导致溃疡和肢体功能丧失。本病例报告的目的是介绍一种针对累及距下关节且完全脱位的活动期夏科氏神经关节病的分期重建方法，该方法在1年随访时成功挽救了肢体并维持了肢体功能。虽然对许多早期夏科氏神经关节病患者而言，主要治疗方法是减负的保守治疗，但对于部分患者，早期手术矫正（包括外固定，随后进行确定性关节融合术）可能是必要的。
