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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2019, Number 3

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Ortho-tips 2019; 15 (3)

Algorithm for the treatment of Charcot’s arthropathy

Caldiño LI

Language: Spanish
References: 13
Page: 159-164
PDF size: 89.19 Kb.


ABSTRACT

Based in the natural history of the Charcot arthropaty the Caldiño method is considered the election treatment in patients with this diagnosis in the Ortopedia Hospital as well as in other main hospitals around the country. The method consists in a first phase of three corrective and progressive total contact casts that leads to the consolidation achievement phase, which in most of the cases takes three months. Followed by the chirurgical phase, this second phase aims to accomplish stability and the removal of residual deformities and hyperpressure exostosis, etiology of compressive ulcers in the foot. The best moment for starting the treatment is during the inflammatory phase, after which, patients can be managed in phase II for molding their foot through the total contact casts trying to get their foot in the most anatomical position taking advantage of the elasticity of the tissues, arthrodiastasis and bone fragmentation. With this method the length of time of the different phases of Charcot arthropathy has been shortened and in 50% of the cases surgery has not been required according on the 8 years follow up of 60 patients studied. These has led on to consider the appliance of the Caldiño algorithm as the standard treatment of Charcot arthropaty, allowing the physicians to apply and achieve the benefits of this method.


REFERENCES

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