Kaiser South San Francisco Medical Center, 1200 El Camino Real, South San Francisco, CA 94108, USA.
Kaiser Oakland Medical Center, 3600 Broadway, Oakland, CA 94611, USA.
Clin Podiatr Med Surg. 2024 Jan;41(1):141-151. doi: 10.1016/j.cpm.2023.06.005. Epub 2023 Jul 18.
Charcot deformity is a challenging condition often leading to foot and ankle deformity that subsequently causes decreased function, ulceration, infection, and limb loss. There are various treatment measures to take into consideration when managing these patients. Treatment approaches range from conservative casting to surgical reconstruction. The authors believe that when faced with deformity, aggressive reconstruction to maintain a plantigrade foot and prevent loss of function is critical. Because of the nature of the Charcot condition, timing and fixation are often debated. This article discusses the authors' approach to Charcot reconstruction in a large integrated health care system.
夏科氏畸形是一种具有挑战性的病症，常导致足部和踝关节畸形，进而导致功能下降、溃疡、感染和肢体丧失。在治疗这些患者时，需要考虑各种治疗措施。治疗方法包括保守的石膏固定到手术重建。作者认为，面对畸形，积极重建以保持足底负重和预防功能丧失至关重要。由于夏科氏病的性质，时机和固定常常存在争议。本文讨论了作者在大型综合性医疗保健系统中对夏科氏畸形重建的方法。
