MODERN APPROACHES TO SURGICAL TREATMENT OF CHARCOT NEUROARTHROPATHY (review)

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Abstract

The present review addresses a pressing orthopaedic issue of surgical treatment for patients with severe foot deformities occurring as consequence to Charcot neuroarthropathy. Described pathology is a severe threatening condition causing high risk of infections and potential limb loss. The paper describes main foot reconstructive procedures employed depending on pathology stage and localization as well as identifies ways to improve surgical treatment of affected patients.

About the authors

S. V. Pavlyuchenko

N.N. Burdenko Voronezh State Medical University, Studencheskaya ul., 10, Voronezh, Russia, 394036

Author for correspondence.
Email: pavl-ortoped@rambler.ru
assistant of the hospital surgery department, N.N. Burdenko Voronezh State Medical University Россия

A. I. Zhdanov

N.N. Burdenko Voronezh State Medical University, Studencheskaya ul., 10, Voronezh, Russia, 394036

Email: fake@neicon.ru
head of the of hospital surgery department, N.N. Burdenko Voronezh State Medical University Россия

I. V. Orlova

N.N. Burdenko Voronezh State Medical University, Studencheskaya ul., 10, Voronezh, Russia, 394036

Email: fake@neicon.ru
student, N.N. Burdenko Voronezh State Medical University Россия

References

  1. Ефименко Н.А. Хирургическое лечение заболеваний и повреждений стопы. Военно- медицинский журнал. 2002; (4):12-18.
  2. Кудаева Ф.М., Елисеев М.С., Владимиров С.А., Барскова В.Г. Артропатия Шарко: место встречи ревматолога и эндокринолога. Современная ревматология. 2010; (4):77-82.
  3. Митиш В.А., Галстян Г.Р., Доронина Л.П., Токмакова А.Ю., Калмыков А.В. Хирургическое лечение стопы Шарко, осложненной гнойной инфекцией. Сахарный диабет. 2009; (1):59-63.
  4. П авлова М.Г., Лаврищева Н.В., Гусова А.А., Шипотько М.Г. Диабетическая остеоартропатия: клиника, диагностика и лечение. Клиницист. 2007; (6):26-31.
  5. Ступин В.А., Горюнов С.В., Привиденцев А.И. Кожно-пластические вмешательства при синдроме диабетической стопы. Рус. мед. журн. 2008; 16 (16):1072-1077.
  6. У довиченко О.В., Бублик Е.В., Максимова Н.В., Пряхина К.Ю., Ермолаева О.С., Спруит П., Галстян Г.Р. Эффективность иммобилизирующих разгрузочных повязок Total Contact Cast: обзор зарубежных рандомизированных клинических исследований и собственные данные. Сахарный диабет. 2010; (2):50-55.
  7. У довиченко О.В., Грекова Н.М. Диабетическая стопа. М.: Практическая медицина; 2010. 272 с.
  8. Allam A.M. Impact of achilles tendon lengthening (ATL) on the diabetic plantar forefoot ulceration. J Plast Reconstr Surg. 2006; 30(1):43-48.
  9. Belczyk R., Ramanujam C.L., Capobianco C.M. Combined midfoot arthrodesis, muscle flap coverage, and circular external fixation for the chronic ulcerated Charcot deformity. Foot Ankle Spec. 2010; 3(1):40-44.
  10. Belczyk R.J., Rogers L.C., Andros G., Wukich D.K., Burns P.R. External fixation techni-ques for plastic and reconstructive surgery of the diabetic foot. Clin Podiatr Med Surg. 2011; 28(4):649-660.
  11. Blume P.A., Sumpio B., Schmidt B., Donegan R. Charcot neuroarthropathy of the foot and ankle. Clin Podiatr Med Surg. 2014; 31(1):151-172.
  12. Burns P.R., Wukich D.K. Surgical reconstruction of the Charcot foot and ankle. Clin Podiatr Med Surg. 2008; (25):95-120.
  13. Capobianco C.M., Ramanujam C.L., Zgonis T. Charcot foot reconstruction with combined internal and external fixation: case report. J Orthop Surg Res. 2010; (5):7.
  14. Capobianco C.M., Stapleton J.J., Zgonis T. Surgical management of diabetic foot and ankle infections. Foot Ankle Spec. 2010; 3(5):223-230.
  15. Capobianco C.M., Stapleton J.J., Zgonis T. The role of an extended medial column arthrodesis for Charcot midfoot neuroarthropathy. Diabetic Foot Ankle. 2010; 1:5282
  16. Capobianco C.M., Zgonis T. Abductor hallucis muscle flap and staged medial column arthrodesis for the chronic ulcerated Charcot foot with concomitant osteomyelitis. Foot Ankle Spec. 2010; 3(5):269-273.
  17. Caravaggi C.M., Sganzaroli A.B., Galenda P., Balaudo M., Gherardi P., Simonetti D. Long- term follow-up of tibiocalcaneal arthrodesis in diabetic patients with early chronic Charcot osteoarthropathy. J Foot Ankle Surg. 2012; (51):408-411.
  18. Christensen T.M., Simonsen L., Holstein P.E., Svendsen O.L., Bülow J. Sympathetic neuropathy in diabetes mellitus patients does not elicit Charcot osteoarthropathy. J Diabetes Complications. 2011; (25):320-324.
  19. Chantelau E. The perils of procrastination: effects of early vs. delayed detection and treatment of incipient Charcot fracture. Diabet Med. 2005; (22):1707-1712.
  20. DeVries J.G., DeCarbo W.T., Hyer C.F. Unique intramedullary device for midfoot arthrodesis in Charcot neuroarthropathy. Foot Ankle Spec. 2010; 3:45-49.
  21. DiDomenico L.A., Sann P. Posterior approach using anterior ankle arthrodesis locking plate for tibiotalocalcaneal arthrodesis. J Foot Ankle Surg. 2011; (50)626-629.
  22. Donegan R., Sumpio B., Blume P.A. Charcot foot and ankle with osteomyelitis. Diabetic Foot Ankle. 2013; (4):213-219.
  23. Eichenholtz S. Charcot joints. Springfield: Thomas; 1966.
  24. Frykberg R.G., Zgonis T., Armstrong D.G., Driver V.R., Giurini J.M., Kravitz S.R. Diabetic foot disorders. A clinical practice guideline. J Foot Ankle Surg. 2006; (45):51-66.
  25. Fitzgibbons T.C., Hawks M.A., McMullen S.T., Inda D.J. Bone grafting in surgery about the foot and ankle: indications and techniques. J Am Acad Orthop Surg. 2011; (19):112-120.
  26. Garchar D., DiDomenico L.A., Klaue K. Reconstruction of Lisfranc joint dislocations secondary to Charcot neuroarthropathy using a plantar plate. J Foot Ankle Surg. 2013; 52(3):295-297.
  27. Gouveri E., Papanas N. Charcot osteoarthropathy in diabetes: a brief review with an emphasis on clinical practice. World J Diabetes. 2011; (2):59-65.
  28. Grant W.P., Garcia-Lavin S.E., Sabo R.T., Tam H.S., Jerlin E. A retrospective analysis of 50 consecutive Charcot diabetic salvage reconstructions. J Foot Ankle Surg. 2009; 48(1):30-38.
  29. Jeffcoate W., Lima J., Nobrega L. The Charcot foot. Diabet Med. 2000; (17):253-258.
  30. Johnson T. Charcot’s osteoarthropathy: An increased awareness of this condition may help in enabling an earlier diagnosis, instituting appropriate treatment, and preventing severe deformity and disability. Cont Med Educ. 2010; 28(4):171-175.
  31. Katsilambros N. Atlas of the diabetic foot. Chichester, West Sussex; Hoboken, NJ: Wiley-Blackwell; 2010. 249 p.
  32. Lowery N.J., Woods J.B., Armstrong D.G., Wukich D.K. Surgical management of Charcot neuroarthropathy a systematic review. Foot Ankle Int. 2012; (2):33-35.
  33. Madan S.S., Pai D.R. Charcot neuroarthropathy of the foot and ankle. Orthop Surg. 2013; (5):86-93.
  34. Malhotra R., Chan C.S., Nather A. Osteomyelitis in the diabetic foot. Univ Orthop Hand J. 2014; (5):19-25.
  35. Mittlmeier T., Klaue K., Haar P., Beck M. Should one consider primary surgical reconstruction in Charcot arthropathy of the feet? Clin Orthop Rel Res. 2010; (468):1002-1011.
  36. Myerson M.S. Reconstructive foot and ankle surgery. In: Management of complications. 2nd ed. Philadelphia: Saunders; 2010. 576 p
  37. P apanas N., Maltezos E. Etiology, pathophysiology and classifications of the diabetic Charcot foot. Diabet Foot Ankle. 2013; (4):208-212.
  38. Rajbhandari S.M., Jenkins R.C., Davies C., Tesfaye S. Charcot neuroarthropathy in diabetes mellitus. Diabetologia. 2002; 45 (9):1085-1096.
  39. Ramanujam C.L., Stapleton J.J., Zgonis T. Current concepts with external fixation and the Charcot foot. Podiatry today. 2013; 26(10):469-482.
  40. Rogers L.C., Frykberg R.G., Armstrong D.G., Boulton A.J., Edmonds M., Van G.H. The Charcot foot in diabetes. Diabetes Care. 2011; (34):2123-2129.
  41. Roukis T.S., Stapleton J.J., Zgonis T. Addressing psychosocial aspects of care for patients with diabetes undergoing limb salvage surgery. Clin Podiatr Med Surg. 2007; (24):601-610.
  42. Sammarco V.J. Superconstructs in the treatment of Charcot foot deformity: plantar plating, locked plating, and axial screw fixation. Foot Ankle Clin. 2009; (14):393-407.
  43. Sanders L.J. The Charcot foot: historical perspective 1827–2003. Diabetes Metab Res Rev. 2004; (20):4-8.
  44. Sanders L.J., Frykberg R.G. The Charcot foot (Pied de Charcot). In: Levin and O’Neal’s the diabetic foot. 7th ed. Philadelphia, PA: Mosby Elsevier; 2007. p. 257-283.
  45. Sanders L.J., Frykberg R.G. Diabetic neuropathic osteoarthropathy: the Charcot foot. In: Frykberg R.G. (ed.) The high risk foot in diabetes mellitus. New York: Churchill Livingstone; 1991, p. 297-338.
  46. Schweinberger M.H., Roukis T.S. The effectiveness of physician-directed external fixation pin site care in preventing pin site infection in a high-risk patient population. Foot Ankle Spec. 2008; (1):218-221.
  47. Stapleton J.J., Zgonis T. Surgical reconstruction of the diabetic Charcot foot: internal, external or combined fixation? Clin Podiatr Med Surg. 2012; (29):425-433.
  48. Trepman E., Nihal A., Pinzur M.S. Current topics review: Charcot neuroarthropathy of the foot and ankle. Foot Ankle Int. 2005; 26(1):46-63.
  49. Van der Ven A., Chapman C.B., Bowker J.H. Charcot neuroarthropathy of the foot and ankle. J Am AcadOrthop Surg. 2009; (17):562-571.
  50. Wiewiorski M., Yasui T., Miska M., Frigg A., Valderrabano V. Solid bolt fixation of the medial column in Charcot midfootarthropathy. J Foot Ankle Surg. 2013; (52): 88-94.
  51. Whalen J., Kitaoka H.B. Complications and salvage of failed total ankle arthroplasty. In: B.F. Morrey, D.J. Berry (ed.). Joint replacement arthroplasty. Vol. 2, ch. 104. Philadelphia, 2011. p. 1110-1180.
  52. Wulker N., Stukenborg C., Savory K.M., Alfke D. Hindfoot motion after isolated and combined arthrodeses: measurements in anatomic specimens. Foot Ankle Int. 2000; (21):921-927.
  53. Zgonis T., Roukis T.S., Frykberg R.G., Landsman A.S. Unstable acute and chronic Charcot’s deformity: staged skeletal and softtissue reconstruction. J Wound Care. 2006; (15):276-280.
  54. Zgonis T., Roukis T.S., Lamm B.M. Charcot foot and ankle reconstruction: current thinking and surgical approaches. ClinPodiatr Med Surg. 2007; 24(3):505-517.
  55. Zgonis T., Roukis T.S., Stapleton J.J., Cromack D.T. Combined lateral column arthrodesis, medial plantar artery flap, and circular external fixation for Charcot midfoot collapse with chronic plantar ulceration. Adv Skin Wound Care. 2008; (21):521-525.
  56. Zgonis T., Stapleton J.J., Jeffries L.C., Girard-Powell V.A., Foster L.J. Surgical treatment of Charcot neuropathy. AORN J. 2008; (87):971-986.

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