Management of diabetic neuropathic foot and ankle malunions and nonunions
Identifieur interne : 004B58 ( Ncbi/Merge ); précédent : 004B57; suivant : 004B59Management of diabetic neuropathic foot and ankle malunions and nonunions
Auteurs : John J. Stapleton [États-Unis]Source :
- Diabetic Foot & Ankle [ 2000-625X ] ; 2011.
Abstract
The management of diabetic neuropathic foot and ankle malunions and/or nonunions is often complicated by the presence of broken or loosened hardware, Charcot joints, infection, osteomyelitis, avascular bone necrosis, unstable deformities, bone loss, disuse and pathologic osteopenia, and ulcerations. The author discusses a rational approach to functional limb salvage with various surgical techniques that are aimed at achieving anatomic alignment, long-term osseous stability, and adequate soft tissue coverage. Emphasis is placed on techniques to overcome the inherent challenges that are encountered when surgically managing a diabetic nonunion and/or malunion. Particular attention is directed to the management of deep infection and Charcot neuroarthropathy in the majority of the cases presented.
Url:
DOI: 10.3402/dfa.v2i0.6287
PubMed: 22396816
PubMed Central: 3284265
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</title><author><name sortKey="Stapleton, John J" sort="Stapleton, John J" uniqKey="Stapleton J" first="John J." last="Stapleton">John J. Stapleton</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Associate, Foot and Ankle Surgery, VSAS Orthopaedics, Allentown, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Associate, Foot and Ankle Surgery, VSAS Orthopaedics, Allentown, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Clinical Assistant Professor of Surgery, Penn State College of Medicine, Hershey, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Assistant Professor of Surgery, Penn State College of Medicine, Hershey, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22396816</idno><idno type="pmc">3284265</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284265</idno><idno type="RBID">PMC:3284265</idno><idno type="doi">10.3402/dfa.v2i0.6287</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">003D79</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003D79</idno><idno type="wicri:Area/Pmc/Curation">003D78</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003D78</idno><idno type="wicri:Area/Pmc/Checkpoint">002E69</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002E69</idno><idno type="wicri:Area/Ncbi/Merge">004B58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Management of diabetic neuropathic foot and ankle malunions and nonunions
</title><author><name sortKey="Stapleton, John J" sort="Stapleton, John J" uniqKey="Stapleton J" first="John J." last="Stapleton">John J. Stapleton</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Associate, Foot and Ankle Surgery, VSAS Orthopaedics, Allentown, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Associate, Foot and Ankle Surgery, VSAS Orthopaedics, Allentown, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Clinical Assistant Professor of Surgery, Penn State College of Medicine, Hershey, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Assistant Professor of Surgery, Penn State College of Medicine, Hershey, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation></author></analytic><series><title level="j">Diabetic Foot & Ankle</title><idno type="eISSN">2000-625X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The management of diabetic neuropathic foot and ankle malunions and/or nonunions is often complicated by the presence of broken or loosened hardware, Charcot joints, infection, osteomyelitis, avascular bone necrosis, unstable deformities, bone loss, disuse and pathologic osteopenia, and ulcerations. The author discusses a rational approach to functional limb salvage with various surgical techniques that are aimed at achieving anatomic alignment, long-term osseous stability, and adequate soft tissue coverage. Emphasis is placed on techniques to overcome the inherent challenges that are encountered when surgically managing a diabetic nonunion and/or malunion. Particular attention is directed to the management of deep infection and Charcot neuroarthropathy in the majority of the cases presented.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zgonis, T" uniqKey="Zgonis T">T Zgonis</name></author><author><name sortKey="Stapleton, Jj" uniqKey="Stapleton J">JJ Stapleton</name></author><author><name sortKey="Polyzois, Vd" uniqKey="Polyzois V">VD Polyzois</name></author><author><name sortKey="Sella, Ej" uniqKey="Sella E">EJ Sella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stapleton, Jj" uniqKey="Stapleton J">JJ Stapleton</name></author><author><name sortKey="Belczyk, R" uniqKey="Belczyk R">R Belczyk</name></author><author><name sortKey="Zgonis, T" uniqKey="Zgonis T">T Zgonis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Capobianco, Cm" uniqKey="Capobianco C">CM Capobianco</name></author><author><name sortKey="Stapleton, Jj" uniqKey="Stapleton J">JJ Stapleton</name></author><author><name sortKey="Zgonis, T" uniqKey="Zgonis T">T Zgonis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stapleton, Jj" uniqKey="Stapleton J">JJ Stapleton</name></author><author><name sortKey="Belczyk, R" uniqKey="Belczyk R">R Belczyk</name></author><author><name sortKey="Zgonis, T" uniqKey="Zgonis T">T Zgonis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Facaros, Z" uniqKey="Facaros Z">Z Facaros</name></author><author><name sortKey="Ramanujam, Cl" uniqKey="Ramanujam C">CL Ramanujam</name></author><author><name sortKey="Stapleton, Jj" uniqKey="Stapleton J">JJ Stapleton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Megas, P" uniqKey="Megas P">P Megas</name></author><author><name sortKey="Saridis, A" uniqKey="Saridis A">A Saridis</name></author><author><name sortKey="Kouzelis, A" uniqKey="Kouzelis A">A Kouzelis</name></author><author><name sortKey="Kallivokas, A" uniqKey="Kallivokas A">A Kallivokas</name></author><author><name sortKey="Mylonas, S" uniqKey="Mylonas S">S Mylonas</name></author><author><name sortKey="Tyllianakis, M" uniqKey="Tyllianakis M">M Tyllianakis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molloy, Ap" uniqKey="Molloy A">AP Molloy</name></author><author><name sortKey="Roche, A" uniqKey="Roche A">A Roche</name></author><author><name sortKey="Narayan, B" uniqKey="Narayan B">B Narayan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Qiang, Z" uniqKey="Qiang Z">Z Qiang</name></author><author><name sortKey="Jun, Pz" uniqKey="Jun P">PZ Jun</name></author><author><name sortKey="Jie, Xj" uniqKey="Jie X">XJ Jie</name></author><author><name sortKey="Hang, L" uniqKey="Hang L">L Hang</name></author><author><name sortKey="Bing, Lj" uniqKey="Bing L">LJ Bing</name></author><author><name sortKey="Cai, Lf" uniqKey="Cai L">LF Cai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kinik, H" uniqKey="Kinik H">H Kinik</name></author><author><name sortKey="Karaduman, M" uniqKey="Karaduman M">M Karaduman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chaudhary, Sb" uniqKey="Chaudhary S">SB Chaudhary</name></author><author><name sortKey="Liporace, Fa" uniqKey="Liporace F">FA Liporace</name></author><author><name sortKey="Gandhi, A" uniqKey="Gandhi A">A Gandhi</name></author><author><name sortKey="Donley, Bg" uniqKey="Donley B">BG Donley</name></author><author><name sortKey="Pinzur, Ms" uniqKey="Pinzur M">MS Pinzur</name></author><author><name sortKey="Lin, Ss" uniqKey="Lin S">SS Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yablon, Cm" uniqKey="Yablon C">CM Yablon</name></author><author><name sortKey="Duggal, N" uniqKey="Duggal N">N Duggal</name></author><author><name sortKey="Wu, Js" uniqKey="Wu J">JS Wu</name></author><author><name sortKey="Shetty, Sk" uniqKey="Shetty S">SK Shetty</name></author><author><name sortKey="Dawson, F" uniqKey="Dawson F">F Dawson</name></author><author><name sortKey="Hochman, Mg" uniqKey="Hochman M">MG Hochman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Diabet Foot Ankle</journal-id><journal-id journal-id-type="publisher-id">DFA</journal-id><journal-title-group><journal-title>Diabetic Foot & Ankle</journal-title></journal-title-group><issn pub-type="epub">2000-625X</issn><publisher><publisher-name>Co-Action Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22396816</article-id><article-id pub-id-type="pmc">3284265</article-id><article-id pub-id-type="publisher-id">DFA-2-6287</article-id><article-id pub-id-type="doi">10.3402/dfa.v2i0.6287</article-id><article-categories><subj-group subj-group-type="heading"><subject>IEFS Proceedings</subject></subj-group></article-categories><title-group><article-title>Management of diabetic neuropathic foot and ankle malunions and nonunions
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Stapleton</surname><given-names>John J.</given-names></name><degrees>DPM, FACFAS</degrees><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff id="AF0001"><label>1</label>Associate, Foot and Ankle Surgery, VSAS Orthopaedics, Allentown, PA, USA</aff><aff id="AF0002"><label>2</label>Clinical Assistant Professor of Surgery, Penn State College of Medicine, Hershey, PA, USA</aff><author-notes><corresp id="cor1"><label>*</label><bold>John J. Stapleton</bold>, Associate, Foot and Ankle Surgery, VSAS Orthopaedics, Allentown, Pennsylvania, USA. Email: <email xlink:href="jostaple@hotmail.com">jostaple@hotmail.com</email></corresp><fn><p>This study was presented at the 6th Annual International External Fixation Symposium (IEFS), December 2010, San Antonio, Texas, USA.</p></fn></author-notes><pub-date pub-type="epub"><day>11</day><month>5</month><year>2011</year></pub-date><pub-date pub-type="collection"><year>2011</year></pub-date><volume>2</volume><elocation-id content-type="doi">10.3402/dfa.v2i0.6287</elocation-id><permissions><copyright-statement>© 2011 John J. Stapleton.</copyright-statement><copyright-year>2011</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The management of diabetic neuropathic foot and ankle malunions and/or nonunions is often complicated by the presence of broken or loosened hardware, Charcot joints, infection, osteomyelitis, avascular bone necrosis, unstable deformities, bone loss, disuse and pathologic osteopenia, and ulcerations. The author discusses a rational approach to functional limb salvage with various surgical techniques that are aimed at achieving anatomic alignment, long-term osseous stability, and adequate soft tissue coverage. Emphasis is placed on techniques to overcome the inherent challenges that are encountered when surgically managing a diabetic nonunion and/or malunion. Particular attention is directed to the management of deep infection and Charcot neuroarthropathy in the majority of the cases presented.</p></abstract><kwd-group><kwd>charcot foot</kwd><kwd>external fixation</kwd><kwd>malunions</kwd><kwd>nonunions</kwd><kwd>diabetic foot</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Stapleton, John J" sort="Stapleton, John J" uniqKey="Stapleton J" first="John J." last="Stapleton">John J. Stapleton</name></noRegion><name sortKey="Stapleton, John J" sort="Stapleton, John J" uniqKey="Stapleton J" first="John J." last="Stapleton">John J. Stapleton</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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