Leventen E O
Foot Ankle. 1986 Jun;6(6):295-9. doi: 10.1177/107110078600600603.
A series of four cases of refractory plantar ulcer in Charcot feet was successfully treated by a wide plantar exposure, excision of the ulcer, and primary closure over suction drainage. Thorough saucerization of the underlying convexity in the tarsals is thought to be necessary to achieve healing and prevent recurrence. Surgical intervention is considered worthwhile in those cases that show a marked rocker-bottom foot deformity on lateral radiography and have a persistent ulcer after conservative treatment in a plaster cast.
通过广泛的足底暴露、溃疡切除以及在负压引流下一期缝合，成功治疗了一系列4例夏科氏足顽固性足底溃疡。据认为，对跗骨下方的凸起进行彻底的碟形化处理对于实现愈合和预防复发是必要的。对于那些在侧位X线片上显示有明显摇椅底足畸形且在石膏固定保守治疗后仍有持续性溃疡的病例，手术干预被认为是值得的。
