Diabetic / Charcot Foot
Especially those with diabetes for 10 years or more are candidates for serious foot problems. They can be seen not only as non-healing wounds, but also as self-breaking or protrusion of foot bones without any wounds. The disease, which starts as swelling and temperature increase in the feet, is unfortunately usually perceived as an infection, and time is lost with wrong treatments.
Charcot foot is a serious complication of diabetic peripheral neuropathy that can cause foot infections and deformities. It is known that traumas to this region play an important role in the pathogenesis of the disease due to loss of sensation in the foot. In the acute period, swelling, redness and temperature increase are prominent, and it is difficult to make a differential diagnosis due to soft tissue inflammation. In the late stages, ulcers on the skin, bony prominences and joint instability that disrupt the anatomical structure and function of the foot are observed. Early diagnosis increases the success of treatment. The aim is to prevent soft tissue damage and bone deformities that will occur during the course of the disease, and to obtain a stable foot that is firmly on the ground at the end of the treatment. Conservative treatment methods often yield satisfactory results. In different stages of the disease, rest, serial plaster and orthotic applications are performed. Custom made shoes can be used for follow-ups. In cases where conservative treatment fails, surgical methods are used. There are options for debridement in cases accompanied by ulcers and infection, removal of these protrusions (exostosis) on the feet with abnormal bone protrusions, and correction and arthrodesis in cases with advanced deformity. The natural course of the disease is slow progression. Regardless of which method is used in the treatment, it is extremely important to inform the patient that the recovery will be slow and the general course may not change, and to comply with the treatment.