Charcot Neuroarthropathy: From the Laboratory to the Bedside.

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Abstract

[Indexed for MEDLINE] 10. 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