Reconstruction of the middle section of the infected Сharcot’s foot

Author:

Obolensky V. N.1ORCID

Affiliation:

1. City Clinical Hospital #13 of the Moscow Health Department, Russian Federation; Russian National Research Medical University N. I. Pirogov Ministry of Health of the Russian Federation, Moscow, Russian Federation

Abstract

The analysis of the results of treatment of 76 patients with Charcot’s foot in the stage of purulent complications with the localization of the pathological process in the middle section of the foot was carried out. Surgical tactics consisted in excising a ulcerative defect with the formation of flaps for subsequent plasty, wedge-shaped resection of the tarsal bones, fixing the physiological position of the foot with cannulated screws, closing the wound defect on the collagen sponge impregnated with the antibiotic with primary sutures. In 6 cases, septic instability of screws was noted at different times, which required their removal without loss of foot correction; one patient has a screw fracture; in 2 cases — recurrence of ulcer formation. All other patients showed persistent good clinical effect.

Publisher

PANORAMA Publishing House

Subject

General Chemical Engineering

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