Charcot neuroarthropathy: Surgical and conservative treatment approaches.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article. 3. Foot (Edinb). 2018 Sep;36:59-66. doi: 10.1016/j.foot.2018.02.001. Epub 2018 Feb 17. Surgical treatment for chronic Charcot neuroarthropathy. Galli M(1), Scavone G(2), Vitiello R(3), Flex A(4), Caputo S(5), Pitocco D(6). Author information: (1)Università Cattolica del Sacro Cuore, Italy. Electronic address: dottorgalli@yahoo.it. (2)Università Cattolica del Sacro Cuore, Italy. Electronic address: jekoide80@yahoo.it. (3)Università Cattolica del Sacro Cuore, Italy. Electronic address: lele.vitiello@gmail.com. (4)Università Cattolica del Sacro Cuore, Italy. Electronic address: andrea.flex@unicatt.it. (5)Università Cattolica del Sacro Cuore, Italy. Electronic address: scaputo@rm.unicatt.it. (6)Università Cattolica del Sacro Cuore, Italy. Electronic address: dario.pitocco@policlinicogemelli.it. Charcot Neuro-arthropathy (CN) is a condition characterized by a progressive derangement of the joints, in individuals affected with sensitive and autonomic neuropathy. The pathogenesis of CN is multifactorial as neuropathy is a necessary, but insufficient condition for the onset of the disease. The most important indication for surgical treatment of Charcot foot is a severe deformity that compromises the functionality of the limb, causing a high risk for ulceration, infection and amputation. The goal in Charcot foot treatment is to obtain and maintain the correction of a severe deformity and/or prevent its development. There are many surgical approach to the CN, such as exostectomy, arthrodesis with internal or external fixation and amputation. Every method has a different indication and specific complication. The right surgical approach in the CN is a real challenge for orthopedic surgeon that need a complete knowing of technique, material and complication. Copyright © 2018 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.foot.2018.02.001