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MINI REVIEW article
Front. Clin. Diabetes Healthc.
Sec. Diabetes Multiorgan Complications
Volume 5 - 2024 |
doi: 10.3389/fcdhc.2024.1344359
This article is part of the Research Topic Status, Treatment, and Management of Diabetic Foot Ulcers View all articles
Charcot Neuro-osteoarthropathy: A Review of Key Concepts and an Evidence-Based Surgical Management Algorithm.
Provisionally accepted- 1 East and North Hertfordshire NHS Trust, Stevenage, United Kingdom
- 2 Imperial College Healthcare NHS Trust, Faculty of Medicine, Imperial College London, London, England, United Kingdom
Charcot neuro-osteoarthropathy (CNO), mainly as a result of diabetic neuropathy, is a complex problem which carries significant morbidity, and is an increasing burden on healthcare as demographics change globally. A multi-disciplinary team (MDT) is necessary to treat the multiple facets of this disease. The multifactorial and non-homogenous nature of this condition and its management, has prevented the development of comprehensive guidelines based on level 1 evidence. Although there is a trend to surgically treat these patients in tertiary centres, the increasing prevalence of CNO necessitates the capability of all units to manage this condition to an extent locally. This article conducted a thorough literature search of Pubmed and Embase from 2003 to 2023 including the following search terms; “Charcot” “neuroarthropathy” “diabetic foot” “management’ “surgery” “treatment” “reconstruction”. The results of this review have been summarised and synthesised into an evidence-based algorithm to aid in the surgical decision-making process, and improve the understanding of surgical management by the whole MDT.
Keywords: Charcot, Surgery, Management algorithm, Diabetic Foot, Foot and Ankle
Received: 25 Nov 2023; Accepted: 17 Jul 2024.
Copyright: © 2024 Argyropoulos, Wynell-Mayow, Johnson, Faroug, Johal, Deol, Hakmi and Mordecai. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
William Wynell-Mayow, East and North Hertfordshire NHS Trust, Stevenage, SG1 4AB, United Kingdom
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Oscar Johnson
1