Premium
Surgical Treatment of Charcot Neuroarthropathy
Author(s) -
Zgonis Thomas,
Stapleton John J.,
Jeffries Luke C.,
GirardPowell Valerie A.,
Foster Lynanne J.
Publication year - 2008
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/j.aorn.2008.03.002
Subject(s) - medicine , surgery , diabetes mellitus , peripheral neuropathy , pathophysiology , sensation , proprioception , physical therapy , neuroscience , biology , endocrinology
CHARCOT NEUROARTHROPATHY, a chronic progressive destruction of joint integrity, is believed to result from a disturbance in pain and proprioceptive sensation. It is most commonly treated in patients with uncontrolled diabetes mellitus and dense peripheral neuropathy. PREVENTION, EARLY DIAGNOSIS, and early treatment are key to a patient's successful outcome. Educating the patient is paramount to avoid further complications and subsequent amputations. THIS ARTICLE DESCRIBES the pathophysiology, staging, surgical treatment, and natural course of Charcot neuroarthropathy. AORN J 87 (May 2008) 971‐986. © AORN, Inc, 2008.