Zusammenfassung
Die diabetisch-neuropathische Osteoarthropathie (DNOAP, Charcot-Arthropathie) ist gekennzeichnet durch eine Destruktion des Fußskeletts mit Frakturen und Gelenkluxationen. Die Therapie des akuten Charcot-Fußes ist primär konservativ. Eine operative Therapie ist bei instabilen, konservativ nicht versorgbaren Fußdeformitäten, der DNOAP des Rückfußes und bei tiefen Infektionen indiziert. Die Komplikationsrate liegt bei den offenen Verfahren zwischen 10 und 20%. Wir stellen ein minimalinvasives Verfahren mit geschlossener Reposition eines akut eingebrochenen Charcot-Fußes unter Anwendung eines Ringfixateurs vor.
Abstract
Diabetic neuropathic osteo-arthropathy (DNOAP; Charcot arthropathy) is a progressive disease characterized by joint luxation, fractures and excessive destruction of foot architecture. The operative therapy is indicated when conservative therapy fails, in progressive breakdown, in hindfoot Charcot and in spreading infections due to plantar ulcers. The complication rate of 10–20% in open surgery is high. We present a minimally invasive technique of closed reduction and application of a ring fixator for reconstruction of the foot architecture and arthrodesis of the involved joints.
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Die Autoren P. Delhey und D. Bürklein teilen sich die Erstautorenschaft.
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Delhey, P., Bürklein, D., Kessler, S. et al. Geschlossene Reposition einer akuten Mittelfußluxationsfraktur im Rahmen einer Charcot-Arthropathie mit Hilfe des Ringfixateurs. Unfallchirurg 113, 594–597 (2010). https://doi.org/10.1007/s00113-010-1785-9
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DOI: https://doi.org/10.1007/s00113-010-1785-9
Schlüsselwörter
- Charcot-Fuß
- Charcot-Arthropathie
- Diabetisch-neuropathische Osteoarthropathie (DNOAP)
- Arthrodese
- Ringfixateur