Charcot's arthropathy following digital amputation in the diabetic foot

M. Bitsch; D. M. Saunte; C. Dall; P. E. Holstein

doi:10.1016/S1268-7731(03)00094-8

Charcot's arthropathy following digital amputation in the diabetic foot

M. Bitsch^*, D. M. Saunte, C. Dall, P. E. Holstein

^*Corresponding author for this work

6 Citations (Scopus)

Abstract

One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.

Original language	English
Journal	Foot and Ankle Surgery
Volume	9
Issue number	4
Pages (from-to)	217-220
Number of pages	4
ISSN	1268-7731
DOIs	https://doi.org/10.1016/S1268-7731(03)00094-8
Publication status	Published - 1 Jan 2003

Keywords

Amputation
Charcot
Diabetes mellitus
Minor amputation
Osteo-arthropathy
Surgical treatment

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/S1268-7731(03)00094-8

Cite this

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title = "Charcot's arthropathy following digital amputation in the diabetic foot",

abstract = "One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.",

keywords = "Amputation, Charcot, Diabetes mellitus, Minor amputation, Osteo-arthropathy, Surgical treatment",

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T1 - Charcot's arthropathy following digital amputation in the diabetic foot

AU - Bitsch, M.

AU - Saunte, D. M.

AU - Dall, C.

AU - Holstein, P. E.

PY - 2003/1/1

Y1 - 2003/1/1

N2 - One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.

AB - One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.

KW - Amputation

KW - Charcot

KW - Diabetes mellitus

KW - Minor amputation

KW - Osteo-arthropathy

KW - Surgical treatment

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DO - 10.1016/S1268-7731(03)00094-8

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AN - SCOPUS:0742321941

SN - 1268-7731

VL - 9

SP - 217

EP - 220

JO - Foot and Ankle Surgery

JF - Foot and Ankle Surgery

IS - 4

ER -

Charcot's arthropathy following digital amputation in the diabetic foot

Abstract

Keywords

UN SDGs

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