Treatment of Diabetic Charcot Arthropathy.
- Author:
Hyung Jin CHUNG
1
Author Information
1. Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University Collage of Medicine, Seoul, Korea. chunghj@dreamwiz.com
- Publication Type:Review
- Keywords:
Foot and ankle;
Diabetic charcot athropathy;
Current concepts
- MeSH:
Ankle;
Congenital Abnormalities;
Diabetes Mellitus;
Diagnosis;
Edema;
Extremities;
Foot;
Fractures, Spontaneous;
Humans;
Joint Diseases;
Joints;
Mortality;
Quality of Life
- From:Journal of Korean Foot and Ankle Society
2013;17(4):243-250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diabetic Charcot arthropathy is a severe joint disease in the foot and ankle that can result in fracture, permanent deformity, limb loss. Although recent research has improved our level of knowledge regarding its etiology and treatment, it still remains a poorly understood disease. It is a serious and potentially limb-threatening lower-extremity late complication of diabetes mellitus and its diagnosis is commonly missed upon initial presentation. Clinicians treating diabetic patients should be vigilant in recognizing early signs of acute Charcot arthropathy, such as pain, warmth, edema, or pathologic fracture in a neuropathic foot. Early detection and prompt treatment can prevent joint and bone destruction. If left untreated, it can reduce overall quality of life and dramatically increase morbidity and mortality of patients. The goal of this manuscript is to evaluate the current concepts of Charcot arthropathy through review of various literature and help clinicians decide the treatment strategy.
