Surgical treatment for chronic Charcot neuroarthropathy.

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Abstract

[Indexed for MEDLINE] 4. Clin Podiatr Med Surg. 2019 Oct;36(4):663-684. doi: 10.1016/j.cpm.2019.07.002. Charcot Neuroarthropathy Advances: Understanding Pathogenesis and Medical and Surgical Management. Botek G(1), Figas S(2), Narra S(2). Author information: (1)Orthopedic Surgery, Cleveland Clinic, 9500 Euclid Avenue, Desk A40, Cleveland, OH 44195, USA. Electronic address: botekg@ccf.org. (2)Podiatry, Mercy Health Regional Medical Center, 3700 Kolbe Road, Lorain, OH 44053, USA. Understanding new theories of the epidemiology of Charcot neuroarthropathy is practice changing. Treatment of Charcot neuroarthropathy is evolving from a passive approach to one that sees the urgency of proactive, early recognition, thereby avoiding the cascading events that lead to the complex, limb-threatening deformities. Preventive medicine is the most efficient at avoiding severe deformity, with prolonged offloading and immobilization as the current mainstay of treatment. However, with recent advancements in medical and surgical modalities, this may become the treatment of the past as clinicians begin to favor medical management and early surgical intervention. Copyright © 2019 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2019.07.002