Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ... Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Etiology Neurovascular theory neurally initiated vascular reflex “autosypathectomy” blood flow, osteoclastic bone resorption initial atrophic, destructive changes secondary reparative phase Charcot; 1868 Brower, Allman; Radiology 139: 1981
Classification Eichenholtz stage I: acute, inflammatory stage II: reparative, unstable stage III: consolidated, stable stage “0”: neuropathic foot “at risk” Schon, Marks; Orth Clinics N.A. 26:1995
- 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 26: Mechanical, structural factors •
- Page 30 and 31: Sensation Monofilament testing 5.07
- Page 32 and 33: Circulation Waveform characteristic
- Page 34 and 35: Infection • screening labs CBC, E
- Page 36 and 37: Infection
- Page 38 and 39: Healing potential Screening labs to
- Page 40 and 41: Off-loading • pressure prevents u
- Page 42 and 43: Total contact cast
- Page 44 and 45: Protection
- Page 46 and 47: Exostectomy
- Page 48 and 49: Exostectomy
- Page 50 and 51: Reconstruction
- Page 52 and 53: Neuroarthropathy • Jean-Martin Ch
- Page 54 and 55: Neuroarthropathy Typical scenario i
- Page 58 and 59: Neuroarthropathy • “no ulcer -
- Page 60 and 61: Neuroarthropathy “at-risk” fact
- Page 64: stage I Charcot • x-ray: fragment
- Page 67 and 68: stage III Charcot • x-ray: recons
- Page 69 and 70: Neuroarthropathy Treatment goals cr
- Page 71 and 72: Charcot acute treatment • strict
- Page 73 and 74: Stage II treatment • protected we
- Page 76: Surgical indications • gross inst
- Page 82 and 83: Amputation Epidemiology 20X higher
- Page 84: Limb salvage vs. amputation • wil
- Page 87 and 88: Conclusions Ulcer treatment pressur
- Page 89 and 90: Conclusions Charcot treatment redne
- Page 91 and 92: Vascular Endocrine Orthopedics Woun
Etiology<br />
Neurovascular theory<br />
neurally initiated vascular reflex<br />
“autosypathectomy”<br />
blood flow, osteoclastic bone resorption<br />
initial atrophic, destructive changes<br />
secondary reparative phase<br />
Charcot; 1868<br />
Brower, Allman; Radiology 139: 1981
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