Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...

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Mechanical, structural factors • clawing <strong>of</strong> toes plantar pressure, dorsal impingement • unstable Charcot foot • stable foot with bony prominence • requires weight-bearing films !!
Page 1 and 2: Evaluation & Treatment of Diabetic
Page 3 and 4: Objectives • discuss the musculos
Page 5 and 6: Diabetes; the “giving” disease
Page 7 and 8: Diabetes mellitus Epidemiology >65
Page 9 and 10: Neuropathy Epidemiology associated
Page 11 and 12: Neuropathy metabolic contribution:
Page 13 and 14: Neuropathy Autonomic dysfunction: a
Page 15 and 16: Neuropathy Immune dysfunction: maln
Page 17 and 18: Neuropathy treatment • maximize g
Page 19 and 20: Diabetic foot ulcer Epidemiology 15
Page 21: Ulcer formation pressure + neuropat
Page 24 and 25: depth Ulcer classification 0: “at
Page 29 and 30: Ulcer treatment • neurogenic vs.
Page 31 and 32: Circulation ABIs with toe pressures
Page 33 and 34: Circulation • TcPO 2 • skin hea
Page 35 and 36: Infection
Page 37 and 38: Infection Probe to bone = osteo.
Page 39 and 40: Ulcer treatment • off-loading •
Page 41 and 42: Total contact cast • edema contro
Page 43 and 44: TCC results • 28/36 (78%) heal in
Page 45 and 46: Correction exostectomy stable defor
Page 47 and 48: Exostectomy
Page 49 and 50: Exostectomy • #41 Charcot pt.s fo
Page 51 and 52: Reconstruction
Page 53 and 54: Neuroarthropathy • bony destructi
Page 55: Neuroarthropathy 40 y.o.; IDDM 3 wk
Page 59 and 60: Neuroarthropathy Epidemiology 1.4 -
Page 61 and 62: Etiology Neurotraumatic theory ↓
Page 63 and 64: Classification Eichenholtz stage I:
Page 66 and 67: stage II Charcot • x-ray: coalesc
Page 68 and 69: stage “0” Charcot • x-ray: no
Page 70 and 71: Treatment considerations • stage
Page 72 and 73: Charcot acute treatment • change
Page 74: Stage III treatment • wean into p
Page 81 and 82:
Amputation Epidemiology #1 cause no
Page 83 and 84:
Diabetic salvage failure • poor c
Page 86 and 87:
Conclusions Neuropathy treatment mo
Page 88 and 89:
Conclusions Ulcer treatment infecti
Page 90 and 91:
Conclusions Charcot treatment recog
Page 92:
Primary Care Foot Program Jessica A
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