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Diagnostik und Therapie bei diabetisch-neuropathischer Osteoarthropathie

  • Chapter
Der diabetische Fuß

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Zusammenfassung

Die diabetische neuropathische Osteoarthropathie (DNOAP), im klinischen Alltag meist »Charcot-Fuß« genannt, stellt als nichtinfektiöse Zerstörung von Knochen und Gelenken im Zusammenhang mit der Neuropathie eine Sonderform des diabetischen Fuß-Syndroms dar. Die DNOAP ist eine chronische und progressiv verlaufende Erkrankung der Knochen und Gelenke, charakterisiert durch entweder schmerzhafte oder schmerzlose Destruktion, hautsächlich im Bereich des Fußes lokalisierter Knochen- und Gelenkstrukturen. Häufig wird diese Spätkomplikation des Diabetes mellitus zumindest in den Anfangsphasen verkannt und führt unsachgemäß behandelt zu einer progredienten Zerstörung des Fußskeletts und zur Invalidität der betroffenen Patienten. Im akuten Stadium ist eine komplette Druckentlastung des Fußes, im chronischen Stadium eine entsprechende Maßschuhversorgung oder ggf. eine operative Korrektur zur Vermeidung von Fußulzerationen anzustreben.

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    Priv.-Doz. Dr. med. S. Zimny

  2. St. Nikolaus-Stiftshospital GmbH Akademisches Lehrkrankenhaus, Universität Bonn, Hindenburgwall 1, 56626, Andernach

    Dr. med. U. Waldecker

  3. Fachärztin für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates, Hirslanden Klinik Birshof, Reinacherstr. 28, CH-4142, Münchenstein

    Prof. Dr. med. A. Eckardt

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  1. Hirslanden-Klinik Birshof, Münchenstein, Schweiz

    Anke Eckardt

  2. Klinikum Stuttgart, Stuttgart, Deutschland

    Ralf Lobmann

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Zimny, S., Waldecker, U., Eckardt, A. (2015). Diagnostik und Therapie bei diabetisch-neuropathischer Osteoarthropathie. In: Eckardt, A., Lobmann, R. (eds) Der diabetische Fuß. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38425-7_5

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  • DOI: https://doi.org/10.1007/978-3-642-38425-7_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38424-0

  • Online ISBN: 978-3-642-38425-7

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