Connolly J F, Csencsitz T A
Orlando Regional Healthcare System, Department of Orthopaedics, Orlando, FL 32806, USA.
Clin Orthop Relat Res. 1998 Mar(348):212-9.
Although less common than neuropathic (Charcot) deformities in feet, ankle deformities can occur and produce significant limb threatening complications after injury in patients with longstanding diabetes. A series of six such complications, including one that resulted in amputation and several near amputations, are presented. The authors' primary purpose is to alert or remind physicians and orthopaedic surgeons of the often unanticipated but significant complications of these rare and seemingly mild ankle injuries. A secondary purpose is to point out that complications may be avoided or mitigated with early stabilization and possibly with treatment of bone resorbing, inflammatory processes characteristic of neuroarthropathies.
虽然踝关节畸形在糖尿病患者中不如足部神经性（夏科氏）畸形常见，但在长期糖尿病患者受伤后仍可能发生，并产生严重的肢体威胁性并发症。本文介绍了一系列六例此类并发症，其中一例导致截肢，还有几例接近截肢。作者的主要目的是提醒医生和骨科医生，这些罕见且看似轻微的踝关节损伤常常会出现意想不到但严重的并发症。次要目的是指出，通过早期固定以及可能对神经关节病特有的骨质吸收、炎症过程进行治疗，并发症可能得以避免或减轻。
