Abstract

CASTRO MARTINEZ, Ricardo et al. Surgical Reconstruction in Patient with Charcot Foot. ccm [online]. 2016, vol.20, n.3, pp. 580-586. ISSN 1560-4381.

A 51 white male patient with a history of type 2 Diabetes Mellitus was treated with metformin (six tablets a day in main meals).  Surgical reconstruction of Charcot arthropathy of the foot is often difficult, because of bone loss, deformities, vasculopathy, and the presence of active infection. In such situations, an amputation would usually be the surgical option. Due to the extensive bone destruction because of osteoporosis presence, an amputation was suggested. The patient did not agree with an amputation and wanted to explore options for limb recover. A case of limb-threatening Charcot deformity with instability was presented. A limb salvage strategy with hind foot fusion combined with an antibiotic for reconstruction of the mid and hind foot was used, resulting in a plantigrade, painless, and functional foot.

Keywords : type 2 diabetes mellitus; arthrodesis; diabetic Charcot Foot.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )