Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...

More documents

Recommendations

Info

Conclusions Charcot treatment recognize stages recognize at-risk patients acute surgery for dislocation, skin at risk reconstruction for chronic instability, nonbraceble deformity protective orthotics, braces shoewear education
Vascular Endocrine Orthopedics Wound care Limb preservation in the diabetic, neuropathic patient Radiology Plastics Primary Care Foot Program PM & R Physical Therapy
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 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 62 and 63: Etiology Neurovascular theory neura
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: Conclusions Charcot treatment redne
show all

Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...

Create successful ePaper yourself

Delete template?

Save as template?