Reader Comments

Blood Sugar Formula

"reignafancy" (2020-02-24)

 |  Post Reply

The foot can become twisted off to the side, Blood Sugar Formula Reviewupward, or simply develop a rocker-style bottom shape. Special custom made shoes with specific molded padding must be used to support the foot and protect the skin from abnormal pressure, otherwise serious wounds can develop. If this is not enough, or if the deformity is too great, reconstructive surgery is needed to place the foot or ankle back into a semi-normal position. This surgery is difficult, time consuming from a recovery standpoint, and usually requires a device placed over the skin called an external fixator. The bones must be re-broken with precision and reset to restore proper positioning. Due to the Charcot disease, the bone material itself will be weaker and less able to hold more traditional internal screws and wires. Therefore, something else is needed to hold the bones in a corrected position until they heal. This has to be accomplished externally with a series of external wires driven into the bone and held together under tension with an external metal frame. This construction will keep the bones in the corrected position until they fully heal. Some surgeons advocate doing this even while the fracture phase of Charcot neuroarthropathy is occurring, without waiting for the bones to fuse from the initial fracturing. While this early intervention can limit the amount of deformity that occurs in the joints, it is very risky and can lead to more serious complications like amputation. It should be done by those with great skill and experience in addressing Charcot deformity during the active phase. Other treatments have been studied that attempt to reverse the bone loss seen in this condition, in a manner similar to the treatment of osteoporosis. The results so far do not translate well to real world application, and work remains on making this an effective early treatment for Charcot neuroarthropathy.

Add comment