scholarly journals Asymptomatic Charcot Foot in Longstanding Diabetes

2021 ◽  
Vol 89 (9) ◽  
pp. 1417-1425
Author(s):  
MOHAMED E. EL-SHINAWI, M.D.; NADER M. HAMADA, M.D. ◽  
ABDEL RAHMAN M. ABDEL RAHMAN, M.Sc.
Keyword(s):  
Charcot Foot

Charcot foot: Early diagnosis and interest in medical care: A case report

2020 ◽  
Author(s):  
Ramla Mizouri ◽  
Radhouene Gharbi ◽  
Sonda Sellami ◽  
Ines Kammoun
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Medical Care ◽  
Charcot Foot

598-P: Risk Factors of Amputation In Patients with Diabetic Charcot Foot In Taiwan

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 598-P
Author(s):  
YU-HSIANG TSENG ◽  
LEE-WEI CHEN
Keyword(s):  
Risk Factors ◽  
Charcot Foot

Limb Salvage in Charcot Foot and Ankle Osteomyelitis: Combined Use Single Stage/Double Stage of Arthrodesis and External Fixation

2009 ◽  
Vol 30 (11) ◽  
pp. 1065-1070 ◽  
Author(s):  
Luca Dalla Paola ◽  
Tanja Ceccacci ◽  
Sasa Ninkovic ◽  
Sara Sorgentone ◽  
Maria Grazia Marinescu
Keyword(s):  
External Fixation ◽  
Limb Salvage ◽  
Single Stage ◽  
Foot And Ankle ◽  
Charcot Foot ◽  
Combined Use

scholarly journals The Role of Bone Scintigraphy with SPECT/CT in the Characterization and Early Diagnosis of Stage 0 Charcot Neuroarthropathy

2020 ◽  
Vol 9 (12) ◽  
pp. 4123
Author(s):  
Raju Ahluwalia ◽  
Ahmad Bilal ◽  
Nina Petrova ◽  
Krishna Boddhu ◽  
Chris Manu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Early Diagnosis ◽  
Bone Scintigraphy ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Charcot Foot ◽  
Bone Pathology ◽  
Charcot Neuroarthropathy ◽  
Focal Uptake ◽  
Stage 1

We describe the use of Single Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) in the investigation and diagnosis of Charcot neuroarthropathy (CN) in patients with a hot swollen foot but normal radiographs and clinical suspicion of CN, usually termed Stage 0. This was a retrospective cohort review of 46 diabetes patients who underwent 3 phase bone scintigraphy with “High Resolution” SPECT/CT. The imaging demonstrated that Stage 0 Charcot foot has a distinct bone pathology, which can be classified into three groups: (1) fractures on Computed Tomography (CT) with accompanying focal uptake of tracer on SPECT, (2) bony abnormalities apart from fracture on CT with focal uptake of tracer on SPECT, and (3) normal CT but focal bony uptake of tracer on SPECT. The CT component of SPECT/CT detected bony fractures in 59% of patients. Early treatment with below knee cast and follow-up for 24 months showed only 4 patients who developed Stage 1 Eichenholtz Charcot foot. Our findings support the use of 3 phase bone scintigraphy with SPECT/CT in the characterization and early diagnosis of CN. Stage 0 Charcot foot has a distinct bone pathology which requires urgent treatment to prevent progression to Stage 1 Eichenholtz Charcot foot. If SPECT/CT is unavailable, CT alone will detect bone fracture in 59% patients.

Epidemiology of the Charcot Foot

2008 ◽  
Vol 25 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Robert G. Frykberg ◽  
Ronald Belczyk
Keyword(s):  
Charcot Foot

Histopathological assessment of a two-stage reconstructive procedure of the infected Charcot foot

2021 ◽  
Author(s):  
Alexander T. Mehlhorn ◽  
Ulrich Illgner ◽  
Stefan Lemperle ◽  
Hubert Hoerterer ◽  
Veith Krenn ◽  
...  
Keyword(s):  
Reconstructive Procedure ◽  
Charcot Foot ◽  
Two Stage

External Stabilization of the Charcot Foot

2019 ◽  
pp. 185-194
Author(s):  
Ryan N. Cantwell ◽  
Michael I. Gazes ◽  
Peter A. Blume
Keyword(s):  
Charcot Foot ◽  
External Stabilization

Deformity and Clinical Outcomes Following Operative Correction of Charcot Ankle

2018 ◽  
Vol 40 (2) ◽  
pp. 145-151 ◽  
Author(s):  
Elizabeth A. Harkin ◽  
Andrew M. Schneider ◽  
Michael Murphy ◽  
Adam P. Schiff ◽  
Michael S. Pinzur
Keyword(s):  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Ankle Joint ◽  
Chronic Wounds ◽  
Surgical Techniques ◽  
Case Series ◽  
Lessons Learned ◽  
Charcot Foot ◽  
Operative Correction ◽  
Therapeutic Footwear

Background: Deformity associated with Charcot foot arthropathy leads to a poor quality of life in affected individuals. Deformity in the midfoot appears to be predictive of clinical outcomes following operative correction. The goal of this retrospective study was to determine if that same methodology could be applied to patients treated for Charcot foot arthropathy involving the ankle joint. Methods: Fifty-six consecutive patients underwent operative reconstruction of Charcot foot deformity involving the ankle joint by a single surgeon over a 14-year period. Preoperative patient characteristics and tibiotalar alignment, were recorded. Surgical treatment included single-stage debridement of active infection and ankle arthrodesis with application of a circular external fixator when infection was present (39 of 56, 69.6%) or retrograde locked intramedullary nailing in the absence of infection (17 of 56, 30.3%). Clinical outcomes were graded based on limb salvage, resolution of infection and chronic wounds, and the ability to ambulate with therapeutic footwear or accommodative orthoses. The average follow-up was 7.5 (range 1.1-14.0) years. Results: One patient died at 134.3 weeks following surgery of unrelated causes and 8 underwent amputation. Twenty-eight of 56 patients (50.0%) achieved a favorable (excellent or good) clinical outcome. There was no significant association between pre- or postoperative alignment and clinical outcomes. Insulin-dependent diabetics were approximately 3 times more likely to have a poor clinical outcome. Conclusions: Operative correction of Charcot deformity involving the ankle joint was associated with a high complication rate and risk for failure. The lessons learned from this highly comorbid patient population with complex deformities can be used as a benchmark for applying modern surgical techniques. Level of Evidence: Level IV, case series.

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