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KMID : 1130920130170040243
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Journal of Korean Foot and Ankle Society
2013 Volume.17 No. 4 p.243 ~ p.250
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Treatment of Diabetic Charcot Arthropathy
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Chung Hyung-Jin
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Abstract
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Diabetic Charcot arthropathy is a severe joint disease in the foot and ankle that can result in fracture, permanent deformity,limb loss. Although recent research has improved our level of knowledge regarding its etiology and treatment, it still remains apoorly understood disease. It is a serious and potentially limb-threatening lower-extremity late complication of diabetesmellitus and its diagnosis is commonly missed upon initial presentation. Clinicians treating diabetic patients should be vigilantin recognizing early signs of acute Charcot arthropathy, such as pain, warmth, edema, or pathologic fracture in a neuropathicfoot. Early detection and prompt treatment can prevent joint and bone destruction. If left untreated, it can reduce overall qualityof life and dramatically increase morbidity and mortality of patients. The goal of this manuscript is to evaluate the currentconcepts of Charcot arthropathy through review of various literature and help clinicians decide the treatment strategy.
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KEYWORD
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Foot and ankle, Diabetic charcot athropathy, Current concepts
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