{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:25:15Z","timestamp":1790324715229,"version":"4.1.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1994,4,1]],"date-time":"1994-04-01T00:00:00Z","timestamp":765158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[1994,4]]},"abstract":"<jats:p>This study was undertaken to evaluate the occurrence of Charcot joint changes in diabetic patients after fractures and\/or dislocations of the foot and ankle. There were 20 fracture\/dislocations of the foot and ankle in 18 patients, with an average follow-up of 27 months (range 14\u201370 months). There were eight fractures of the midfoot, six fractures of the ankle, four fractures of the hindfoot, and two fractures of the forefoot. Eight fractures were followed by the development of Charcot changes: five in the midfoot and one each in the forefoot, hindfoot, and ankle. Of nine fractures recognized early and initially treated by early immobilization or ORIF, seven healed uneventfully. Two fractures, both open injuries, developed soft tissue infection and osteomyelitis, respectively. Of the 11 fractures in which there was a delay in diagnosis and treatment, eight developed Charcot changes. The early recognition and appropriate treatment of fractures in diabetic patients appears to be important in the prevention of Charcot joint changes.<\/jats:p>","DOI":"10.1177\/107110079401500405","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:31:12Z","timestamp":1362281472000},"page":"182-185","source":"Crossref","is-referenced-by-count":56,"title":["Fractures and Dislocations of the Foot and Ankle in Diabetics Associated with Charcot Joint Changes"],"prefix":"10.1177","volume":"15","author":[{"suffix":"Jr.","given":"George B.","family":"Holmes","sequence":"first","affiliation":[{"name":"Director of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1725 W. Harrison St., Chicago, Illinois 60612. To whom reprint requests should be addressed."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia-Presbyterian Medical Center, New York, New York."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1994,4,1]]},"reference":[{"key":"bibr1-107110079401500405","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198870080-00010"},{"key":"bibr2-107110079401500405","first-page":"22","volume":"121","author":"Clouse M.E.","year":"1974","journal-title":"Clinical and roentgenographic observations in 90 cases. Am. J. Roentgenol."},{"key":"bibr3-107110079401500405","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197201000-00017"},{"key":"bibr4-107110079401500405","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1230530"},{"key":"bibr5-107110079401500405","doi-asserted-by":"publisher","DOI":"10.3109\/17453678508993021"},{"key":"bibr6-107110079401500405","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749010-00001"},{"key":"bibr7-107110079401500405","doi-asserted-by":"publisher","DOI":"10.3109\/17453678008990903"},{"issue":"4","key":"bibr8-107110079401500405","first-page":"272","volume":"30","author":"Kristiansen B.","year":"1983","journal-title":"Dan. Med. Bull."},{"key":"bibr9-107110079401500405","first-page":"1159","volume":"52","author":"Lippmann H.T.","year":"1976","journal-title":"Bull. N. Y. Acad. Med."},{"key":"bibr10-107110079401500405","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/00003086-198807000-00028","volume":"232","author":"Loder R.T.","year":"1988","journal-title":"Clin. Orthop."},{"key":"bibr11-107110079401500405","first-page":"127","volume":"31","author":"Pospisil M.","year":"1985","journal-title":"Acta Univ. Carol. Med."},{"key":"bibr12-107110079401500405","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-197205000-00006"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110079401500405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/107110079401500405","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110079401500405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:19:01Z","timestamp":1777411141000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110079401500405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,4]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1994,4]]}},"alternative-id":["10.1177\/107110079401500405"],"URL":"https:\/\/doi.org\/10.1177\/107110079401500405","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,4]]}}}