Current state of the problem of surgical treatment of deformation of the hindfoot and ankle joint in diabetic neuroosteoarthropathy Charcot



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Abstract

The literature review is devoted to surgical treatment of patients with deformities and defects of the hindfoot caused by diabetic Charcot neuroosteoarthropathy. The severity of this disease is often due to the unstable nature of the deformity, high risk of purulent complications and limb amputation. The purpose of this review was to determine, based on literature data, the optimal method of fixation when performing arthrodesis for diabetic Charcot neuroosteoarthropathy with damage to the hindfoot and ankle. This review presents the main methods of reconstructive interventions for localization of the pathological process in the area of the hindfoot and assesses the advantages and disadvantages of each method in this category of patients. The search for publications was conducted in the PubMed database and the eLibrary electronic scientific library, using the following keywords: hindfoot, ankle joint, bone defects, charcot foot, diabetic neuroosteoarthropathy, arthrodesis, tibiotalocalcaneal arthrodesis. The search depth was from 2000 to 2024 inclusive. Despite the variety of methods for treating diabetic Charcot neuroosteoarthropathy at the level of the hindfoot and ankle joint described in the literature, there is currently no consensus on the methods of fixation and the technique of arthrodesis, especially in the presence of ulcerative defects. The issue of treating Charcot's foot in the presence of pronounced bone defects and methods of their replacement, using allo- and autologous bone material, also remains open. Further studies, long-term clinical trials should evaluate the prospects for performing arthrodesis in case of deformation of the hindfoot and ankle joint in diabetic Charcot's neuroosteoarthropathy, which will give a clearer picture of recommendations on the tactics of treating patients with this pathology.

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About the authors

Vladimir A. Vinogradov

ФГАОУ ВО РУДН; ГБУЗ ГВВ №3 ДЗМ

Email: vovavin15@gmail.com
ORCID iD: 0000-0001-5228-5130
SPIN-code: 4763-0050

аспирант кафедры травматологии и ортопедии МИ; врач-травматолог-ортопед

Russian Federation

Stanislav A. Osnach

Центр хирургии стопы и диабетической стопы ГКБ им. С.С. Юдина

Email: stas-osnach@yandex.ru
ORCID iD: 0000-0003-4943-3440
SPIN-code: 3977-0277

врач травматолог-ортопед 

Victor G. Protsko

Центр хирургии стопы и диабетической стопы ГКБ им. С.С. Юдина, ФГАОУ ВО РУДН

Email: 89035586679@mail.ru
ORCID iD: 0000-0002-5077-2186
SPIN-code: 4628-7919

врач травматолог-ортопед, руководитель; профессор кафедры травматологии и ортопедии МИ

Vladimir N. Obolenskiy

ГКБ им. В.П. Демихова филиал №1, ФГАОУ ВО РНИМУ им. Н.И. Пирогова

Email: gkb13@mail.ru
ORCID iD: 0000-0003-1276-5484
SPIN-code: 5843-2934

врач хирург; доцент кафедры общей хирургии ЛФ

Sargon K. Tamoev

Центр хирургии стопы и диабетической стопы ГКБ им. С.С. Юдина

Email: sargonik@mail.ru
ORCID iD: 0000-0001-8748-0059
SPIN-code: 2986-1390

врач травматолог-ортопед, заведующий отделением 

Nikolay V. Zagorodniy

ФГАОУ ВО РУДН

Author for correspondence.
Email: zagorodny-nv@rudn.ru
ORCID iD: 0000-0002-6736-9772
SPIN-code: 6889-8166

профессор, заведующий кафедры травматологии и ортопедии МИ, академик РАН

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