Clinical characteristics and prognosis of diabetes Charcot foot
Wang Luning
Guan Xiaohong
Tian Hui
Abstract：Objective To analyze the characteristics and prognosis of 20 patients with diabetes Charcot foot.Methods The clinical characteristics and prognosis of 20 patients with diabetes Charcot foot from June 2008 to June 2013 were retrospectively analyzed.Results All the 20 cases had single foot lesion;the age was (55 ± 8) years old;75.0％ (15/20) were male;the mean duration of diabetes was (12 ±6) years;the blood supply of affected food was fine;the median duration of symmetry numbness was 6 years;the glycemic control was poor;the blood lipid was normal.The chronic complications were mostly microvascular disease,especially nephropathy [65.0％ (13/20)] and autonomic nerve pathological change [75.0％ (15/20)].Four cases underwent amputation of 1/3 of lower leg,7 cases underwent toes amputation,1 case underwent internal fixation of the first tarsometatarsal joint;6 cases were healed after debridement,1 case was improved;1 case put on configurated correction shoes.After 1-5 years of follow up,1 case died from heart attack,1 case had stroke induced by atrial fibrillation,2 cases underwent hemodialysis because of uremia,1 case had recurrent ulcers,1 case was lost,the others were well.Conclusions The male is high-risk population of diabetes Charcot foot associated with poor glycemic control mostly;decompression and immobilization of affected food favors protection and healing of Charcot foot.
Keywords：Diabetic footCharcot footDiabetic peripheral neuropathy
Publication Date：2016-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 683-687 )