Charcot Foot Surgery

You may also require surgery if you have a. In the early stage of charcot foot offloading helps prevent inflammation and stops the condition from getting worse and prevents deformity.

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As charcot foot progresses the bones can become so weakened that they fracture.

Charcot foot surgery. As the bone is undergoing a pathogenic process of osteoclastic resorption and fragmentation there is concern about its ability to maintain optimal fixation purchase. 2 4 7 10 14 21 24 26 the primary concern however is with the quality of the bone. 10 stage 1 is characterized by the development of an erythematous and edematous foot.

The goal of surgery is to remove bony protrusions and correct the rocker bottom associated with charcot foot. The first and most important treatment is rest or to take the weight off of the affected foot also called offloading. Charcot foot surgery your doctor may recommend surgery if your foot has become significantly unstable or if it cannot be braced or supported in any way.

In 1966 eikenholtz was probably the first to classify the radiographic and clinical changes associated with charcot arthropathy. The reality is reconstructive surgery for charcot foot is very rarely successful long term. The condition is thought to be caused by repetitive injury typically a series of microtraumas a person may only be minimally or even completely unaware of.

A surgeon may also realign or fuse the bones of the foot to better position them to bear weight. Charcot foot is a severe complication of diabetes and is caused by peripheral neuropathy nerve damage in which the person s foot or ankle becomes insensate insensitive to pain. The goals of surgery for charcot foot are to stabilize any fractured bones or dislocated joints and allow them to heal.

Charcot foot surgery is often performed in hopes of correcting charcot foot deformity. Charcot foot surgery requiring the internal and external fixation of bones is a very involved complex surgery with a relatively high failure rate. Charcot foot treatment conservative options if the condition is diagnosed early charcot foot treatment may require only immobilization and non weight bearing or custom footwear.

The concern with surgery on an acute charcot foot lies with the potential complications wound healing complications and infection that could occur from operating on an edematous limb. Wouldn t we all love to have an arch again and have a stable foot. Joints may dislocate in the foot or ankle.

Charcot foot staging staging of the charcot foot has been based primarily on radiographic analysis and anatomic site. In theory this is a fabulous idea.

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