Charcot's arthropathy following digital amputation in the diabetic foot

Research output: Contribution to journal › Comment/debate › Research › peer-review

Standard

Charcot's arthropathy following digital amputation in the diabetic foot. / Bitsch, M.; Saunte, D. M.; Dall, C.; Holstein, P. E.

In: Foot and Ankle Surgery, Vol. 9, No. 4, 01.01.2003, p. 217-220.

Research output: Contribution to journal › Comment/debate › Research › peer-review

Harvard

Bitsch, M, Saunte, DM, Dall, C & Holstein, PE 2003, 'Charcot's arthropathy following digital amputation in the diabetic foot', Foot and Ankle Surgery, vol. 9, no. 4, pp. 217-220. https://doi.org/10.1016/S1268-7731(03)00094-8

APA

Bitsch, M., Saunte, D. M., Dall, C., & Holstein, P. E. (2003). Charcot's arthropathy following digital amputation in the diabetic foot. Foot and Ankle Surgery, 9(4), 217-220. https://doi.org/10.1016/S1268-7731(03)00094-8

Vancouver

Bitsch M, Saunte DM, Dall C, Holstein PE. Charcot's arthropathy following digital amputation in the diabetic foot. Foot and Ankle Surgery. 2003 Jan 1;9(4):217-220. https://doi.org/10.1016/S1268-7731(03)00094-8

Author

Bitsch, M. ; Saunte, D. M. ; Dall, C. ; Holstein, P. E. / Charcot's arthropathy following digital amputation in the diabetic foot. In: Foot and Ankle Surgery. 2003 ; Vol. 9, No. 4. pp. 217-220.

Bibtex

@article{c8015062236e4a7bb45b8c9a9eb937dd,
title = "Charcot's arthropathy following digital amputation in the diabetic foot",
abstract = "One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.",
keywords = "Amputation, Charcot, Diabetes mellitus, Minor amputation, Osteo-arthropathy, Surgical treatment",
author = "M. Bitsch and Saunte, {D. M.} and C. Dall and Holstein, {P. E.}",
year = "2003",
month = jan,
day = "1",
doi = "10.1016/S1268-7731(03)00094-8",
language = "English",
volume = "9",
pages = "217--220",
journal = "Foot and Ankle Surgery",
issn = "1268-7731",
publisher = "Elsevier",
number = "4",

}

RIS

TY - JOUR

T1 - Charcot's arthropathy following digital amputation in the diabetic foot

AU - Bitsch, M.

AU - Saunte, D. M.

AU - Dall, C.

AU - Holstein, P. E.

PY - 2003/1/1

Y1 - 2003/1/1

N2 - One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.

AB - One-hundred-twenty-six diabetic patients had a toe amputation due to infection or ulcer. By a review of the files 1 year later the incidence of Charcot breakdown in patients with normal peripheral perfusion was found to be 23% (7/30 patients) following transmetatarsal amputation of the first toe and occurred only in patients with normal peripheral perfusion and neuropathy. No cases of Charcot were recorded in patients with vascular insufficiency, which had a partial amputation of the first toe or if only one or more of the small toes were amputated. The onset of the arthropathy was within 3 month after surgery in five cases and after 4 and 6 months in two cases. Meticulous attention in the postoperative course is required for recognition and early treatment of this complication. We recommend offloading and immobilization of the foot and ankle in a period of 1-2 months to prevent the Charcot breakdown.

KW - Amputation

KW - Charcot

KW - Diabetes mellitus

KW - Minor amputation

KW - Osteo-arthropathy

KW - Surgical treatment

UR - http://www.scopus.com/inward/record.url?scp=0742321941&partnerID=8YFLogxK

U2 - 10.1016/S1268-7731(03)00094-8

DO - 10.1016/S1268-7731(03)00094-8

M3 - Comment/debate

AN - SCOPUS:0742321941

VL - 9

SP - 217

EP - 220

JO - Foot and Ankle Surgery

JF - Foot and Ankle Surgery

SN - 1268-7731

IS - 4

ER -

ID: 226414802