Charcot Neuroarthropathy in Patients With Diabetes: An Updated Systematic Review of Surgical Management

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Brian J SchneeklothDane K Wukich

Abstract

Charcot neuroarthropathy (CN) of the foot and ankle is a demanding clinical dilemma, and surgical management can be very complicated. Historically, the evidence guiding surgical management of CN has been small retrospective case series and expert opinions. The purpose of the present report was to provide a systematic review of studies published from 2009 to 2014 and to review the indications for surgery. A Medline search was performed, and a systematic review of studies discussing the surgical management of CN was undertaken. Thirty reports fit the inclusion criteria for our study, including 860 patients who had undergone a surgical procedure for the treatment of CN. The surgical procedures included amputation, arthrodesis, debridement of ulcers, drainage of infections, and exostectomy. The midfoot was addressed in 26.9% of cases, the hindfoot in 41.6%, and the ankle in 38.4%. Of the 30 studies, 24 were retrospective case series (level 4), 4 were controlled retrospective studies (level 3), and 2 were level II studies. The overall amputation rate was 8.9%. The quality of the published data on the surgical management of CN has improved during the past several years. Evidence concerning the timing of treatment and the use of diffe...Continue Reading

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Citations

Dec 7, 2016·Foot & Ankle International·Dane K WukichMitchell Fourman
Dec 11, 2019·Diabetes/metabolism Research and Reviews·Robert G FrykbergUNKNOWN Board of the Association of Diabetic Foot Surgeons
Sep 28, 2018·Journal of Foot and Ankle Research·Benjamin BullenMairghread Ellis
Sep 10, 2020·Revista Brasileira De Ortopedia·Ricardo Cardenuto Ferreira
Sep 25, 2020·Revista Brasileira De Ortopedia·Ricardo Cardenuto Ferreira
Mar 15, 2020·Archives of Orthopaedic and Trauma Surgery·Stephan H WirthFelix W A Waibel
Jan 12, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Nicole K CatesPaul J Kim
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Brian Martin, Jason Chow
Apr 9, 2021·Archives of Orthopaedic and Trauma Surgery·Viviane GratwohlFelix W A Waibel
May 18, 2021·Annals of Medicine and Surgery·Ananto Satya PradanaMohamad Hidayat
Jun 19, 2021·Journal of the American Podiatric Medical Association·Nicholas S PowersPatrick R Burns
Aug 10, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Nicole K CatesJacob Wynes

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