A literature-based guide to the conservative and surgical management of the acute Charcot foot and ankle

Diabetic Foot & Ankle
Valerie L Schade, Charles A Andersen

Abstract

Acute Charcot neuroarthropathy of the foot and ankle presents with the insidious onset of a unilateral acutely edematous, erythematous, and warm lower extremity. The acute stages are typically defined as Eichenholtz Stage 1, or Stage 0, which was first described by Shibata et al. in 1990. The ultimate goal of treatment is maintenance of a stable, plantigrade foot which can be easily shod, minimizing the risk of callus, ulceration, infection, and amputation. The gold standard of treatment is non-weight-bearing immobilization in a total contact cast. Surgical intervention remains controversial. A review of the literature was performed to provide an evidenced-based approach to the conservative and surgical management of acute Charcot neuroarthropathy of the foot and ankle.

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Citations

Oct 10, 2015·Diabetes/metabolism Research and Reviews·K MarkakisA J M Boulton
Mar 22, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·K Taylor, S C Bain
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May 2, 2017·Clinics and Practice·Levent AdiyekeTahir Mutlu Duymuş
Nov 23, 2016·Foot and Ankle Clinics·Jessica A CottrellJ Patrick O'Connor

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Methods Mentioned

BETA
amputation

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