The successful complex treatment diabetic neuroosteoarthropathy of the middle part of the foot in the stage of purulent complications
https://doi.org/10.25199/2408-9613-2017-4-4-28-37
Abstract
The article presents a clinical case of the successful complex treatment of a patient L., 58 years old, with diabetic neuroosteoarthropathy in the middle part of the foot (Charcot's foot), complicated by a deep plantar phlegmon. The strategy of complex treatment, perioperative management and rehabilitation is described in detail. The long-term relapse-free observation period for a patient is more than 5 years.
About the Authors
V. A. Mishish
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia; Peoples’ Friendship University of Russia Ministry of Education and Science of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997; 8, Miklukho-Maklaya Str., Moscow, 117198.
Yu. S. Paskhalova
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia; Peoples’ Friendship University of Russia Ministry of Education and Science of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997; 8, Miklukho-Maklaya Str., Moscow, 117198.
V. V. Garyaeva
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997.
A. A. Ushakov
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997.
L. A. Blatun
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia; Peoples’ Friendship University of Russia Ministry of Education and Science of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997; 8, Miklukho-Maklaya Str., Moscow, 117198.
S. D. Magomedova
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997.
T. G. Turova
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997.
S. A. Orudzheva
A. V. Vishnevsky Institute of Surgery Ministry of Health of Russia
Russian Federation
Russian Federation
27, Bol’shaya Serpukhovskaya Str., Moscow, 117997.
References
1. International agreement on diabetic foot. Compiled by the international working group on diabetic foot. Moscow: Publishing House "Bereg", 2000; p. 96.
2. Reiber G. E., Raugi G. J. Preventing foot ulcers and amputations in diabetes. Lancet, 2005; 366 (9498): 1676–1677.
3. Lyapis M. A., Gerasimchuk P. A. Substantiation of standards of complex treatment of diabetic foot syndrome. Standards of diagnosis and treatment in purulent surgery. Moscow: 2001; р. 140-147.
4. Algorithms of specialized medical care for patients with diabetes mellitus. Ed. by I. I. Dedov, M. V. Shestakova, A. Yu Mayorov. Moscow, 2017; (8): 99-102.
5. Tokmakova A. Yu., Ulyanova I. N., Yaroslavtseva M. V., Doronina L. P. Diabetic neuroosteoarthropathy. Complication of diabetes. Treatment and prevention. Ed. I. I. Dedov, M. V. Shestakova. MIA, 2017: 578-607.
6. Maksimova N. V., Bobrov D. S. Diabetic osteoarthropathy (Charcot foot): pathogenesis, diagnosis and treatment of rare complications of diabetes. Department of traumatology and orthopedics. 2013; 2 (6): 6-12.
7. Zhao H. M., Diao J.Y., Liang X.J., et al. Pathogenesis and potential relative risk factors of diabetic neuropathic osteoarthropathy. J. Orthop. Surg. Res. 2017; 12: 142.
8. Sabanchieva N. I., Komelyagina E. Yu., Obolenskiy V. N., Protsko V. G., Antsiferov M. B. Surgical treatment of diabetic osteoarthropathy Wounds and Wound Infections. The Prof. B. M. Kostyuchenok Journal = Rany` i ranevy`e infekcii. Zhurnal im. prof. B. M. Kostyuchyonka 2015; 2 (3): 46-53 (In Russ.).
9. Dmitrienko, A. A, Anichkin V. V., Tretyakov, A. A. et al., Surgical correction of foot deformities in Charcot osteoarthropathy. Surgery news = Novosti xirurgii. 2017; 25 (5): 535-542 (In Russ.).
10. Bensman V. M. Surgery of purulent-necrotic complications of diabetic foot syndrome. Moscow: Medical Practice - M, 2015. 685 p.
11. Frykberg R. G. Charcot Foot // The Foot in Diabetes. A. J. M. Boulton, H. Connor, P. R. Cavanagh (Eds.). Chichester: John Wiley Sons, 2000: 235–260.
12. Mitish V. A., Galstyan G. R., Doronina L. P., etc. Surgical treatment of Charcot's foot complicated by purulent infection. Diabetes = Saxarny`j diabet. 2009; (1): 59-63 53 (In Russ.).
13. Kuzin M. I., Kostyuchenok B. M. Wounds and wound infection. Guide for doctors. Moscow: Medicine, 1990.
Review
For citations:
Mishish V.A., Paskhalova Yu.S., Garyaeva V.V., Ushakov A.A., Blatun L.A., Magomedova S.D., Turova T.G., Orudzheva S.A. The successful complex treatment diabetic neuroosteoarthropathy of the middle part of the foot in the stage of purulent complications. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2017;4(4):28-37. (In Russ.) https://doi.org/10.25199/2408-9613-2017-4-4-28-37
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