Foot and Ankle Surgery for Chronic Nonhealing Wounds.
Ankle Injuries
/ physiopathology
Ankle Joint
/ surgery
Braces
Chronic Disease
Debridement
Equipment Design
Foot
/ surgery
Foot Injuries
/ physiopathology
Humans
Orthotic Devices
Osteomyelitis
/ physiopathology
Soft Tissue Injuries
/ surgery
Surgical Flaps
Tendinopathy
/ physiopathology
Wound Healing
/ physiology
Wounds and Injuries
/ physiopathology
Charcot
External fixation
Orthotics
Plastic surgery
Prosthetics
Surgery
Wounds
Journal
The Surgical clinics of North America
ISSN: 1558-3171
Titre abrégé: Surg Clin North Am
Pays: United States
ID NLM: 0074243
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
entrez:
19
7
2020
pubmed:
19
7
2020
medline:
28
7
2020
Statut:
ppublish
Résumé
Chronic wounds often are the result of bone deformities, compounded by musculotendinous and ligamentous imbalance. Sensory neuropathy places patients at greater risk for acute wounds to develop into chronic wounds. Etiologies of these deforming forces include Charcot neuroarthropathy, trauma, and congenital and acquired neuromuscular disorders. Management of these deformities ranges from simple relief of pressure with soft inserts to bracing for mechanical instability. Correction of more complex deformities requires resection of bone, osteotomies, fusions, and external fixation. Tendon and ligament imbalance must be addressed at all levels of deformity. Postoperatively, patients must be re-evaluated for continuation of orthoses and bracing.
Identifiants
pubmed: 32681871
pii: S0039-6109(20)30048-7
doi: 10.1016/j.suc.2020.05.003
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
707-725Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure The authors have nothing to disclose.