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Acta ortopédica mexicana

Print version ISSN 2306-4102

Abstract

CALDINO-LOZADA, I; ROJAS-OSORIO, D  and  ESPERON-HERNANDEZ, R. Treatment for Charcot arthropathy. Five-year follow-up. Acta ortop. mex [online]. 2017, vol.31, n.2, pp.67-74. ISSN 2306-4102.

Introduction:

Charcot arthropathy is a deformity which alters foot biomechanics and generate bichemical reactions that affect articular joints and bone. The natural history shown us a prevalence on 1% and is classified by Eichenholtz and Simmons modification in four stages; Sanders describe its location in 5 specific areas.

Material and methods:

Our goal was to evaluate the specific method of treatment depending in the different stages of the deformity according to the literature review and to our proposed algoritm.

Results:

A succesful treatment were based on alignment, bone healing and independent gait with regular shoes occurred in 85 % of our population. 15% were considered failures because of lack of consolidation, malalignment or use of gait aids and reactivation of the disease.

Conclusions:

There were no differences in the treatment regardless of the phase of the disease; it is more important the individualized treatment.

Keywords : Charcot; foot; treatment; surgery; results.

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