{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:49:13Z","timestamp":1790261353596,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2002,6,1]],"date-time":"2002-06-01T00:00:00Z","timestamp":1022889600000},"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":["Scand J Surg"],"published-print":{"date-parts":[[2002,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>The incidence of diabetic Charcot neuroarthropathy has increased. The purpose here was to study the current diagnostics and treatment of the Charcot foot.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>During a time period from 1994 to 2000, a total of 36 feet were diagnosed as cases of diabetic Charcot neuroarthropathies. A retrospective analysis of patient records and radiographs was undertaken. A review of the recent literature is presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>29 cases were diagnosed in the dissolution stage, 2 in coalascence, and 5 in the resolution stage. The diagnostic delay averaged 29 weeks. Treatment with cast immobilisation ranged from 4 to 37 weeks (mean 11 weeks). A total of 14 surgical procedures were carried out on 10 patients: six exostectomies, four midfoot arthrodeses, one triple arthrodesis, one tibiocalcaneal arthrodesis and two below-knee amputations. radiological fusion was achieved in two thirds of the attempted arthrodeses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A physician should always consider the Charcot neuroarthropathy when a diabetic patient has an inflamed foot. In the absence of fever, elevated CRP or ESR, infection is a highly unlikely diagnosis, and a Charcot process should primarily be considered. The initial treatment of an inflamed Charcot foot consists in sufficiently long non-weightbearing with a cast, which should start immediately after the diagnosis. The prerequisites of successful reconstructive surgery are correct timing, adequate fixation and a long postoperative non-weightbearing period. In the resolution stage most Charcot foot patients need custom-molded footwear.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/145749690209100212","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T11:48:29Z","timestamp":1500378509000},"page":"195-201","source":"Crossref","is-referenced-by-count":114,"title":["Charcot Arthropathy of the Diabetic Foot. Current Concepts and Review of 36 Cases"],"prefix":"10.1177","volume":"91","author":[{"given":"T.-K.","family":"Pakarinen","sequence":"first","affiliation":[{"name":"Medical School, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.-J.","family":"Laine","sequence":"additional","affiliation":[{"name":"Section of Orthopaedics and Traumatology, Department of Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. E.","family":"Honkonen","sequence":"additional","affiliation":[{"name":"Section of Orthopaedics and Traumatology, Department of Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Peltonen","sequence":"additional","affiliation":[{"name":"Section of Orthopaedics and Traumatology, Department of Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Oksala","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Lahtela","sequence":"additional","affiliation":[{"name":"Medical School, University of Tampere, Tampere, Finland"},{"name":"Department of Internal Medicine, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2002,6,1]]},"reference":[{"key":"bibr1-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1002\/1520-7560(200009\/10)16:1+<::AID-DMRR134>3.0.CO;2-N"},{"key":"bibr2-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2000.00233.x"},{"key":"bibr3-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1007\/s001250050586"},{"key":"bibr4-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1007\/s001250050634"},{"key":"bibr5-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM194703132361103"},{"key":"bibr6-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.17.3.201"},{"key":"bibr7-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.6.796"},{"key":"bibr8-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1002\/dme.1996.13.s1.52"},{"key":"bibr9-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-197205000-00006"},{"key":"bibr10-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800606"},{"key":"bibr11-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199811000-00019"},{"key":"bibr12-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500502"},{"key":"bibr13-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199307000-00012"},{"key":"bibr14-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701801104"},{"key":"bibr15-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900209"},{"key":"bibr16-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199804000-00015"},{"key":"bibr17-145749690209100212","volume-title":"Charcot joints","author":"Eichenholtz SN","year":"1966"},{"key":"bibr18-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199705)14:5<357::AID-DIA341>3.0.CO;2-8"},{"key":"bibr19-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.139.2.7220879"},{"key":"bibr20-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.1.34"},{"key":"bibr21-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199707)14:7<527::AID-DIA404>3.0.CO;2-Q"},{"key":"bibr22-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1007\/s001250051332"},{"key":"bibr23-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800680904"},{"key":"bibr24-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.73.868.10844873"},{"key":"bibr25-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1097\/00002142-199810000-00005"},{"key":"bibr26-145749690209100212","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/S0030-5898(20)31999-4","volume":"26","author":"Schon LC","year":"1995","journal-title":"Orthop Clin North Am"},{"key":"bibr27-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199803000-00009"},{"key":"bibr28-145749690209100212","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/00003086-199311000-00005","volume":"296","author":"Brodsky JW","year":"1993","journal-title":"Clin Orthop"},{"key":"bibr29-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199805000-00021"},{"key":"bibr30-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199312000-00005"},{"key":"bibr31-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1994.tb00225.x"},{"key":"bibr32-145749690209100212","first-page":"1843","volume":"26","author":"Guis S","year":"1999","journal-title":"J Rheumatol"},{"key":"bibr33-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000905"},{"key":"bibr34-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200007000-00005"},{"key":"bibr35-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(00)80045-9"},{"key":"bibr36-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900801"},{"key":"bibr37-145749690209100212","first-page":"14","volume":"296","author":"Bono JV","year":"1993","journal-title":"A salvage procedure. Clin Orthop"},{"key":"bibr38-145749690209100212","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700605"},{"key":"bibr39-145749690209100212","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072050-00016"}],"container-title":["Scandinavian Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/145749690209100212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/145749690209100212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:49:09Z","timestamp":1777697349000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/145749690209100212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,6]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2002,6]]}},"alternative-id":["10.1177\/145749690209100212"],"URL":"https:\/\/doi.org\/10.1177\/145749690209100212","relation":{},"ISSN":["1457-4969","1799-7267"],"issn-type":[{"value":"1457-4969","type":"print"},{"value":"1799-7267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,6]]}}}