Safety and Efficacy of Plantar Exostectomies for the Management of Diabetic Charcot Midfoot Deformity: A Systematic Review

被引：0

作者：

Fernandez-Ospina, Natalia H. ^{[1
]}

Lopez-Moral, Mateo ^{[1
]}

Molines-Barroso, Raul J. ^{[1
]}

Garcia-Madrid, Marta ^{[1
]}

Garcia-Morales, Esther ^{[1
]}

Lazaro-Martinez, Jose Luis ^{[1
]}

机构：

[1] Univ Complutense Madrid, Inst Invest Sanitaria Hosp Clin San Carlos IdISSC, Fac Enfermeria Fisioterapia & Podol, Diabetic Foot Unit,Clin Univ Podol, Madrid, Spain

来源：

INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS | 2025年

关键词：

diabetic foot; Charcot foot; Charcot neuro-osteoarthropathy; midfoot Charcot; rocker-bottom; exostectomy; FOOT; RECONSTRUCTION; ARTHROPATHY;

D O I：

10.1177/15347346251359063

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Management of residual deformity in patients with Charcot Neuro-osteoarthropathy represents a therapeutic challenge. The midfoot is the most frequently affected area, leading to the typical rocker-bottom deformity. Surgical exostectomy in these areas of bony prominences offers a non-reconstructive method to remove pressure and allow ulcers to heal or prevent their development when conservative measures fail. This review includes a total of 11 studies, aimed to assess the outcome of exostectomies in the prevention and recurrence of ulcers under the bony prominence in patients with Charcot midfoot and its main complications. Exostectomy was successful in 60% of cases after the first surgery and in 90.7% of cases in total. The procedure, when done below the lateral column, seems to have a higher number of diverse complications. This fact must be taken into account when performing this procedure.

引用

页数：8

共 30 条

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