Shazadeh Safavi Pejma, Jupiter Daniel C, Panchbhavi Vinod
Medical Student, University of Texas Medical Branch at Galveston, Tomball, TX.
Assistant Professor, Preventative Medicine and Community Health, University of Texas Medical Branch at Galveston, Galveston, TX.
J Foot Ankle Surg. 2017 Nov-Dec;56(6):1249-1252. doi: 10.1053/j.jfas.2017.06.011. Epub 2017 Aug 1.
Charcot neuroarthropathy of the foot, or Charcot foot, is a pathologic entity of the foot, associated with diabetes mellitus. Owing to the increase of diabetes mellitus in developed nations worldwide, the prevalence of Charcot foot has been increasing. The initial treatment of Charcot foot is often conservative, with methods including bracing, casting, and the use of customized orthopedic shoes. However, many cases of Charcot foot eventually require surgery, because the consequent destabilization of the foot associated with bone, joint, and nerve injury due to the pathology eventually leave patients unable to walk independently. The present systematic review analyzed the published data regarding surgical interventions for midfoot Charcot deformities and estimated the rates of common complications occurring with the surgical modalities studied. The main outcomes of interest analyzed in the present study were postoperative amputation and bony fusion. The included cohort of patients with Charcot foot was very heterogeneous in terms of the demographic and comorbid characteristics. However, even with this heterogeneity, the present study should provide useful information to surgeons in terms of the outcomes after some of the common surgical procedures for midfoot Charcot.
足部夏科氏关节病，即夏科氏足，是一种与糖尿病相关的足部病理实体。由于全球发达国家糖尿病发病率上升，夏科氏足的患病率一直在增加。夏科氏足的初始治疗通常是保守治疗，方法包括支具固定、石膏固定以及使用定制矫形鞋。然而，许多夏科氏足病例最终需要手术治疗，因为该病理导致的足部骨骼、关节和神经损伤所引起的足部失稳最终会使患者无法独立行走。本系统评价分析了已发表的关于中足夏科氏畸形手术干预的数据，并估计了所研究手术方式常见并发症的发生率。本研究分析的主要关注结局是术后截肢和骨融合。纳入的夏科氏足患者队列在人口统计学和合并症特征方面非常异质。然而，即使存在这种异质性，本研究仍应为外科医生提供一些关于中足夏科氏常见手术程序术后结局的有用信息。
