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Strategies for Leg Amputation in Patients with Charcot’s Arthropathy

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Limb Salvage of the Diabetic Foot

Abstract

Charcot arthropathy is a challenging disease process to manage. Major lower extremity amputation is often the end-line treatment. However, special consideration must be taken during amputation of a Charcot’s limb because the hypervascularity and edema unique to these patients can be an obstacle to proper wound healing and subsequent independence on a prosthetic. We will discuss here staged amputation that takes into account the pathophysiology of Charcot arthropathy by incorporating negative pressure wound therapy (NPWT) into the wound-healing process.

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Authors and Affiliations

  1. Department of Surgery (Vascular), Yale University School of Medicine, New Haven, CT, USA

    Julia Fayanne Chen & Bauer E. Sumpio

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  1. Julia Fayanne Chen
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  2. Bauer E. Sumpio
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Correspondence to Bauer E. Sumpio .

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Editors and Affiliations

  1. King’s College Hospital, London, UK

    Michael E. Edmonds

  2. School of Medicine, Yale University, New Haven, CT, USA

    Bauer E. Sumpio

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Chen, J.F., Sumpio, B.E. (2019). Strategies for Leg Amputation in Patients with Charcot’s Arthropathy. In: Edmonds, M., Sumpio, B. (eds) Limb Salvage of the Diabetic Foot. Springer, Cham. https://doi.org/10.1007/978-3-319-17918-6_16

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  • DOI: https://doi.org/10.1007/978-3-319-17918-6_16

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  • Online ISBN: 978-3-319-17918-6

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