Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review
Background. The number of patients with diabetes mellitus, including those with its severe complications such as Charcot neuropathic osteoarthropathy, is increasing worldwide. Restoration of weight bearing ability and creation of conditions for ulcer healing is challenging for trauma and orthopedic...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2023-09-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/8001/pdf |
| _version_ | 1797261426381815808 |
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| author | Petr S. Bardiugov Mihail V. Parshikov Nikolay V. Yarygin |
| author_facet | Petr S. Bardiugov Mihail V. Parshikov Nikolay V. Yarygin |
| author_sort | Petr S. Bardiugov |
| collection | DOAJ |
| description | Background. The number of patients with diabetes mellitus, including those with its severe complications such as Charcot neuropathic osteoarthropathy, is increasing worldwide. Restoration of weight bearing ability and creation of conditions for ulcer healing is challenging for trauma and orthopedic surgeons, especially because of the need to restore bone tissue defects.
Aim of the review — to compare modern methods of replacement of large bone tissue defects of the distal segment of the lower limb in patients with Charcot neuropathic osteoarthropathy.
Methods. The articles were searched in PubMed/MEDLINE, Google Scholar, Scopus, eLIBRARY, CyberLeninka databases. The search was performed using the following keywords and word combinations: Charcot foot, diabetic neuropathic osteoarthropathy and bone grafting. Full-text articles in Russian and English were selected. The search was carried out without chronological limitations due to the small number of published studies and specific subject of research.
Results. The possibilities of bone defect replacement in Charcot foot are poorly described in the world literature. The narrow specificity and relative infrequency of this pathology is the probable reason for the small number of publications and the lack of studies with a high level of evidence.
Conclusion. Bone autografting for lesions of the medial or lateral midfoot column and Ilizarov tibial lengthening to compensate for limb shortening after reconstructive surgeries at the level of the hindfoot and ankle joint are the most commonly used methods of bone defect replacement in patients with Charcot foot. Free bone autografting (possibly with demineralized bone matrix) is the method of choice for small defects of the lateral or medial column of the midfoot. |
| first_indexed | 2024-04-24T23:41:02Z |
| format | Article |
| id | doaj.art-350d26c1125641d48ae83a925b723fa5 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-04-24T23:41:02Z |
| publishDate | 2023-09-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-350d26c1125641d48ae83a925b723fa52024-03-15T11:44:04ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332023-09-0129314915610.17816/2311-2905-80011279Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): ReviewPetr S. Bardiugov0https://orcid.org/0000-0002-5771-0973Mihail V. Parshikov1https://orcid.org/0000-0003-4201-4577Nikolay V. Yarygin2https://orcid.org/0000-0003-4322-6985Endocrinology Research CentreA.I. Yevdokimov Moscow State University of Medicine and DentistryA.I. Yevdokimov Moscow State University of Medicine and DentistryBackground. The number of patients with diabetes mellitus, including those with its severe complications such as Charcot neuropathic osteoarthropathy, is increasing worldwide. Restoration of weight bearing ability and creation of conditions for ulcer healing is challenging for trauma and orthopedic surgeons, especially because of the need to restore bone tissue defects. Aim of the review — to compare modern methods of replacement of large bone tissue defects of the distal segment of the lower limb in patients with Charcot neuropathic osteoarthropathy. Methods. The articles were searched in PubMed/MEDLINE, Google Scholar, Scopus, eLIBRARY, CyberLeninka databases. The search was performed using the following keywords and word combinations: Charcot foot, diabetic neuropathic osteoarthropathy and bone grafting. Full-text articles in Russian and English were selected. The search was carried out without chronological limitations due to the small number of published studies and specific subject of research. Results. The possibilities of bone defect replacement in Charcot foot are poorly described in the world literature. The narrow specificity and relative infrequency of this pathology is the probable reason for the small number of publications and the lack of studies with a high level of evidence. Conclusion. Bone autografting for lesions of the medial or lateral midfoot column and Ilizarov tibial lengthening to compensate for limb shortening after reconstructive surgeries at the level of the hindfoot and ankle joint are the most commonly used methods of bone defect replacement in patients with Charcot foot. Free bone autografting (possibly with demineralized bone matrix) is the method of choice for small defects of the lateral or medial column of the midfoot.https://journal.rniito.org/jour/article/viewFile/8001/pdfcharcot footdiaberic neuropathic osteoarthropathybone grafting |
| spellingShingle | Petr S. Bardiugov Mihail V. Parshikov Nikolay V. Yarygin Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review Travmatologiâ i Ortopediâ Rossii charcot foot diaberic neuropathic osteoarthropathy bone grafting |
| title | Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review |
| title_full | Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review |
| title_fullStr | Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review |
| title_full_unstemmed | Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review |
| title_short | Bone Defect Replacement in Diabetic Neuropathic Osteoarthropathy (Charcot Foot): Review |
| title_sort | bone defect replacement in diabetic neuropathic osteoarthropathy charcot foot review |
| topic | charcot foot diaberic neuropathic osteoarthropathy bone grafting |
| url | https://journal.rniito.org/jour/article/viewFile/8001/pdf |
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