Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy

Diabetic osteoarthropathy is one of the most difficult complication of diabetes mellitus, requiring the cooperation of a many of specialitys, including traumatologists - orthopedists. However, there is no single approach to the choice of orthopedic treatment tactics for this group of patients. From...

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Autores principales:	Petr S. Bardiugov, Mikhail V. Parshikov, Gagik R. Galstyan, Nikolaj V. Yarygin
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2020
Materias:	diabetic foot diabetic polyneuropathy osteoarthropathy foot deformities orthopedics orthopedic surgery Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/6d019668e54145d9b946beb4f46f34e5
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spelling	oai:doaj.org-article:6d019668e54145d9b946beb4f46f34e52021-11-14T09:00:23ZIndications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy2072-03512072-037810.14341/DM12271https://doaj.org/article/6d019668e54145d9b946beb4f46f34e52020-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12271https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Diabetic osteoarthropathy is one of the most difficult complication of diabetes mellitus, requiring the cooperation of a many of specialitys, including traumatologists - orthopedists. However, there is no single approach to the choice of orthopedic treatment tactics for this group of patients. From 2015 to 2018 inclusive, there were 35 patients with diabetic osteoarthropathy that received conservative or surgical orthopedic treatment. 11 patients received conservative orthopedic treatment; 24 patients received surgical treatment. A total of 26 surgical interventions were performed. Two types of surgical interventions were performed: 1) resection of the protruding fragment of one or another bone of the tarsus - 12 operations 2) reconstructive surgery aimed at correcting gross deformation of the middle and / or hindfoot - 14 operations. Along with general clinical examination, all patients underwent orthopedic examination, determining the degree of blood supply disturbance. A differentiated approach to choosing the method of orthopedic treatment of the presented group of patients allowed to restore limb supportability, ensure stability in the ankle joint and joints of the middle foot, create conditions for healing and prevention of relapse of the ulcer. The experience gained allowed us to offer indications for a particular method of orthopedic treatment of foot deformities in diabetic osteoarthropathy, depending on the stage of the pathological process, its location, the severity of the deformation, and the clinical course of this pathology.Petr S. BardiugovMikhail V. ParshikovGagik R. GalstyanNikolaj V. YaryginEndocrinology Research Centrearticlediabetic footdiabetic polyneuropathyosteoarthropathyfoot deformitiesorthopedicsorthopedic surgeryNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 4, Pp 374-385 (2020)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetic foot diabetic polyneuropathy osteoarthropathy foot deformities orthopedics orthopedic surgery Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetic foot diabetic polyneuropathy osteoarthropathy foot deformities orthopedics orthopedic surgery Nutritional diseases. Deficiency diseases RC620-627 Petr S. Bardiugov Mikhail V. Parshikov Gagik R. Galstyan Nikolaj V. Yarygin Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
description	Diabetic osteoarthropathy is one of the most difficult complication of diabetes mellitus, requiring the cooperation of a many of specialitys, including traumatologists - orthopedists. However, there is no single approach to the choice of orthopedic treatment tactics for this group of patients. From 2015 to 2018 inclusive, there were 35 patients with diabetic osteoarthropathy that received conservative or surgical orthopedic treatment. 11 patients received conservative orthopedic treatment; 24 patients received surgical treatment. A total of 26 surgical interventions were performed. Two types of surgical interventions were performed: 1) resection of the protruding fragment of one or another bone of the tarsus - 12 operations 2) reconstructive surgery aimed at correcting gross deformation of the middle and / or hindfoot - 14 operations. Along with general clinical examination, all patients underwent orthopedic examination, determining the degree of blood supply disturbance. A differentiated approach to choosing the method of orthopedic treatment of the presented group of patients allowed to restore limb supportability, ensure stability in the ankle joint and joints of the middle foot, create conditions for healing and prevention of relapse of the ulcer. The experience gained allowed us to offer indications for a particular method of orthopedic treatment of foot deformities in diabetic osteoarthropathy, depending on the stage of the pathological process, its location, the severity of the deformation, and the clinical course of this pathology.
format	article
author	Petr S. Bardiugov Mikhail V. Parshikov Gagik R. Galstyan Nikolaj V. Yarygin
author_facet	Petr S. Bardiugov Mikhail V. Parshikov Gagik R. Galstyan Nikolaj V. Yarygin
author_sort	Petr S. Bardiugov
title	Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
title_short	Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
title_full	Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
title_fullStr	Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
title_full_unstemmed	Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
title_sort	indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy
publisher	Endocrinology Research Centre
publishDate	2020
url	https://doaj.org/article/6d019668e54145d9b946beb4f46f34e5
work_keys_str_mv	AT petrsbardiugov indicationsforvariousoptionsoffootdeformitiesorthopediccorrectionindiabeticneuroosteoarthropathy AT mikhailvparshikov indicationsforvariousoptionsoffootdeformitiesorthopediccorrectionindiabeticneuroosteoarthropathy AT gagikrgalstyan indicationsforvariousoptionsoffootdeformitiesorthopediccorrectionindiabeticneuroosteoarthropathy AT nikolajvyarygin indicationsforvariousoptionsoffootdeformitiesorthopediccorrectionindiabeticneuroosteoarthropathy
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Indications for various options of foot deformities orthopedic correction in diabetic neuroosteoarthropathy

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