Moradi M, Snyder RJ, Cala MA, Rolim LP, et al.
Wounds : a compendium of clinical research and practice. Date of publication 2014 Aug 1;volume 26(8):239-44.
1. Wounds. 2014 Aug;26(8):239-44.
Long-standing nonhealing charcot foot ulcers that fail conservative care: is
major amputation always the solution?
Moradi M(1), Snyder RJ(2), Cala MA(2), Rolim LP(2).
Author information:
(1)Barry University Foot and Ankle Institute, Hialeah, FL;
email:moradi.18@gmail.com.
(2)Barry University Foot and Ankle Institute, Hialeah, FL.
Charcot arthropathy represents a potentially devastating complication in patients
with diabetes; this is most significant when an ulcer and/or infection are
present. When conservative therapies fail to relieve symptomatology, amputation
usually represents the next step in the treatment algorithm. However, in
appropriate patients, reconstructive procedures performed by specially trained
surgeons may change this paradigm and prevent amputation. The following case
report and subsequent literature review discusses a patient with a recalcitrant
ulcer mitigated by severe Charcot foot deformity who underwent surgical
intervention leading to preservation of the limb. The goal of this manuscript is
to heighten awareness of this surgical alternative and foster the wound healing
clinician to seek out surgeons in their communities with the skills and
experience to perform these limb preservation procedures and potentially
forestall amputation. .
PMID: 25860640
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