Differential Diagnosis of Charcot Neuroarthropathy in Subacute and Chronic Phases: Unusual Diseases.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 13. Orthop Clin North Am. 2024 Jul;55(3):393-401. doi: 10.1016/j.ocl.2023.11.001. Epub 2023 Nov 21. Surgical Outcomes in Charcot Arthropathy. Skinner WC(1), Pattisapu N(2), Yeoh J(3), Grear BJ(1), Richardson DR(1), Murphy GA(1), Bettin CC(4). Author information: (1)Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. (2)Beth Israel Lahey Hospital, 41 Mall Road, Burlington, MA 01805, USA. (3)Nanaimo Orthopaedics, 201-1515 Dufferin Crescent, Nanaimo, British Columbia V9S5H6, Canada. (4)Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. Electronic address: cbettin@campbellclinic.com. Treatment of Charcot neuroarthropathy (CN) of the foot and ankle remains challenging for both patients and surgeons. Nonoperative treatment with cast/orthosis immobilization has long been the mainstay of treatment, but surgical intervention has gained interest to improve poor long-term outcomes. A review of existing data on the operative management of CN demonstrates the potential benefits but also the continued risks associated with treatment. Additionally, a retrospective review of cohorts managed with limited surgical interventions (wound debridements, exostectomies, and other surgical procedures) compared to reconstructive procedures provides additional insight into the surgical management of CN. Copyright © 2023 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2023.11.001