Offering up-to-date guidance to surgeons looking for the most current management for the care of Charcot arthropathy and related fractures of the foot and ankle in diabetic patients, this book discusses pathophysiology, recommendations for pre-surgical evaluations, and management strategies for diabetes and Charcot neuroarthropathy, along with demographics and epidemiology of diabetes. Conservative care, total contact casts and footwear are discussed, as well as the management of infections and osteomyelitis. Acute fractures and Charcot arthropathy for the forefoot, midfoot and ankle follow, including plate and axial fixation techniques, with authors' preferred treatment strategies presented in step-by-step fashion. Written and edited by recognized leaders in the field, this is a must-have for orthopedic surgeons and podiatrists, residents, nurse practioners, physician's assistants and all people treating diabetic patients and will be an excellent resource for treating these debilitating afflictions.
The Surgical Management of the Diabetic Foot and Ankle
Introduction, Demographics, and Epidemiology of Diabetes.- Pathophysiology of Diabetes and Charcot Neuroarthropathy.- Evaluation and Management of Vascular Disease in the Diabetic Patient.- Classification of Diabetic Foot Disease.- Nonoperative Care and Footwear for the Diabetic Foot and Ankle Patient.- The Diagnosis and Treatment of Diabetic Foot Infections.- Management of Acute Hindfoot Fractures in Diabetics.- Management of Acute Diabetic Fractures of the Ankle.- Plate Fixation Techniques for Mid- and Forefoot Charcot Arthropathy.- Treatment of Charcot Midfoot Deformity by Arthrodesis Using Long Axial Screws.-Management of the Charcot Ankle.- Exostectomy for the Charcot Arthropathy.- Use of External Fixation for the Management of the Diabetic Foot and Ankle.