Ong S L, Bajuri M Y, Mazli N
Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Malays Orthop J. 2023 Mar;17(1):27-33. doi: 10.5704/MOJ.2303.004.
Charcot arthropathy is a condition which is progressive, non-infectious, destructive and debilitating that commonly affect foot and ankle. This systematic review is to evaluate the occurrence of common outcomes associated with each intervention of Charcot neuroarthropathy in midfoot.
A systematic review on literatures that were published from Jan 2010 to Jan 2020 were collected, reviewed and selected regarding the surgical treatment procedures of Charcot neuroarthropathy in midfoot.
The initial search yielded 231 reports and after exclusion, nine out of the total studies were included in the outcome analysis for review. These were studies that included data concerning surgical reconstruction of Charcot arthropathy in the midfoot.
It is suggested that soft tissue preparation and usage of combination of implants thus reduce the risk of infection as well as increase rigidity of construct, respectively. These factors will aid to improve outcome of midfoot Charcot arthropathy reconstruction.
夏科氏关节病是一种进行性、非感染性、破坏性且使人衰弱的病症，通常影响足部和脚踝。本系统评价旨在评估与中足夏科氏神经关节病各干预措施相关的常见结局的发生率。
收集、审查并筛选了2010年1月至2020年1月发表的关于中足夏科氏神经关节病手术治疗程序的文献进行系统评价。
初步检索得到231篇报告，排除后，共有9项研究纳入结局分析以供审查。这些研究包含了有关中足夏科氏关节病手术重建的数据。
建议进行软组织准备并使用植入物组合，从而分别降低感染风险并增加结构的刚性。这些因素将有助于改善中足夏科氏关节病重建的结局。
