Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems
Diabetic Charcot neuroosteoarthropathy is a manifestation of diabetic foot syndrome, accompanied by a high risk of foot ulcers and amputation. Many aspects of this pathology due to its features remain poorly understood, which leads to difficulties in determining the tactics of treatment of these pat...
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| Format: | Article |
| Language: | English |
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Endocrinology Research Centre
2024-09-01
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| Series: | Сахарный диабет |
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| Online Access: | https://www.dia-endojournals.ru/jour/article/view/13118 |
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| author | V. B. Bregovskiy S. A. Osnach V. N. Obolenskiy A. G. Demina A. L. Rybinskaya V. G. Protsko |
| author_facet | V. B. Bregovskiy S. A. Osnach V. N. Obolenskiy A. G. Demina A. L. Rybinskaya V. G. Protsko |
| author_sort | V. B. Bregovskiy |
| collection | DOAJ |
| description | Diabetic Charcot neuroosteoarthropathy is a manifestation of diabetic foot syndrome, accompanied by a high risk of foot ulcers and amputation. Many aspects of this pathology due to its features remain poorly understood, which leads to difficulties in determining the tactics of treatment of these patients. This review analyzes of anatomical and functional classifications of Charcot foot. The review focuses on the midfoot pathology as the most severe in their consequences. The advantages and disadvantages of different approaches to the description of the X-ray picture of the disease at its various stages are analyzed. The systematization of the literature allows us to conclude that the existing approaches to classification are relatively acceptable mainly when planning conservative treatment. At the same time, detailed anatomical and radiological classifications do not help in choosing the tactics of reconstructive surgical treatment. With the increasing availability of reconstructive surgery for severe deformities due to Charcot’s arthropathy, it seems appropriate to develop classification systems that could become a practical tool for determining surgical tactics in this pathology. |
| format | Article |
| id | doaj-art-6a40cc297c7748f8a4e4a9fa9e336c30 |
| institution | Kabale University |
| issn | 2072-0351 2072-0378 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Сахарный диабет |
| spelling | doaj-art-6a40cc297c7748f8a4e4a9fa9e336c302025-08-20T03:47:54ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782024-09-0127438439410.14341/DM1311811102Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problemsV. B. Bregovskiy0S. A. Osnach1V. N. Obolenskiy2A. G. Demina3A. L. Rybinskaya4V. G. Protsko5St-Petersburg City diabetes CentreSergey Yudin City HospitalClinical hospital №13; Pirogov Russian National Research Medical UniversitySt-Petersburg City diabetes CentreConsultative and Diagnostic Center of the GS of the RF Armed ForcesSergey Yudin City Hospital; RUDN UniversityDiabetic Charcot neuroosteoarthropathy is a manifestation of diabetic foot syndrome, accompanied by a high risk of foot ulcers and amputation. Many aspects of this pathology due to its features remain poorly understood, which leads to difficulties in determining the tactics of treatment of these patients. This review analyzes of anatomical and functional classifications of Charcot foot. The review focuses on the midfoot pathology as the most severe in their consequences. The advantages and disadvantages of different approaches to the description of the X-ray picture of the disease at its various stages are analyzed. The systematization of the literature allows us to conclude that the existing approaches to classification are relatively acceptable mainly when planning conservative treatment. At the same time, detailed anatomical and radiological classifications do not help in choosing the tactics of reconstructive surgical treatment. With the increasing availability of reconstructive surgery for severe deformities due to Charcot’s arthropathy, it seems appropriate to develop classification systems that could become a practical tool for determining surgical tactics in this pathology.https://www.dia-endojournals.ru/jour/article/view/13118diabetes mellitusdiabetic footdiabetic neuroarthropathycharcot footclassification |
| spellingShingle | V. B. Bregovskiy S. A. Osnach V. N. Obolenskiy A. G. Demina A. L. Rybinskaya V. G. Protsko Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems Сахарный диабет diabetes mellitus diabetic foot diabetic neuroarthropathy charcot foot classification |
| title | Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems |
| title_full | Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems |
| title_fullStr | Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems |
| title_full_unstemmed | Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems |
| title_short | Classification of the Charcot neuroosteoarthropathy: evolution of views and unsolved problems |
| title_sort | classification of the charcot neuroosteoarthropathy evolution of views and unsolved problems |
| topic | diabetes mellitus diabetic foot diabetic neuroarthropathy charcot foot classification |
| url | https://www.dia-endojournals.ru/jour/article/view/13118 |
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