SURGICAL TREATMENT OF DIABETIC OSTEOARTHROPATHY

Abstract

The article presents clinical examples of surgical treatment of diabetic osteoarthropathy. In both clinical cases, the talipes and plantar ulcerous defects became a significant factor of the threatening high ablation, which was avoided. Restoration of the support function of the foot and absence of recurrent plantar ulcerous defects in the long term is the result of a multidisciplinary team approach to the treatment of these patients. An ambulatory patient is assigned a package of therapeutic measures to prepare for the surgery. After the intervention the patient is compulsory for outpatient treatment in diabetic foot department for further monitoring and rehabilitation. Reconstructive surgery on the foot in patients with diabetic osteoarthropathy under the joint treatment of the patient by the team of specialists (endocrinologist, surgeon, orthopedist) leads to the restoration of the support function of the foot, which enables a full adaptation to the patient's daily life.