Abstract：
Treatment of Charcot neuroarthropathy (CN) of the foot and ankle remains challenging for both patients and surgeons. Nonoperative treatment with cast/orthosis immobilization has long been the mainstay of treatment, but surgical intervention has gained interest to improve poor long-term outcomes. A review of existing data on the operative management of CN demonstrates the potential benefits but also the continued risks associated with treatment. Additionally, a retrospective review of cohorts managed with limited surgical interventions (wound debridements, exostectomies, and other surgical procedures) compared to reconstructive procedures provides additional insight into the surgical management of CN.
摘要：
对于患者和外科医生来说，足和脚踝的Charcot神经病变（CN）的治疗仍然具有挑战性。管型/矫形器固定的非手术治疗长期以来一直是治疗的主要手段，但手术干预已引起人们的兴趣,以改善不良的长期结局.对CN手术管理的现有数据的审查表明了与治疗相关的潜在益处，但也表明了持续的风险。此外,对采用有限外科手术治疗的队列进行回顾性回顾(伤口清创，外切手术,和其他外科手术）与重建程序相比，为CN的手术管理提供了更多见解。
