HIGH YIELD 2

Question 1

name this tx classification, acute charcot or post acute charcot?

eichenholz development and early coalescence

physical exam and xray findings
-dermal thermometer 4+ degrees F vs contralateral

Answer 1

acute charcot

Question 2

name this tx classification, acute charcot or post acute charcot?

quiescent

eichenholz late coalescence and reconstruction

physical exam and xray findings
-dermal thermometer equal

Answer 2

post acute charcot

Question 3

T/F, pulses are bounding in acute charcot?

Answer 3

T

Question 4

T/F, temp should continue to decrease during healing?

Answer 4

T

Question 5

main standard of care in acute charcot?***

purpose of bisphosphonates?

Answer 5

immobilization

decreases osteoclast activity
prevent bone loss

Question 6

other conservative mgmt methods?

Answer 6

total contact casting
accommodative shoegear
boot/bracing
-patellar tendon brace
-charcot restraint orthotic  walker (CROW)

Question 7

name this cast?

locks on, cast
bead filled
rocker bottom
removable external sole
more comfortable than cast

Answer 7

VACOcast

Question 8

goal of surgical management?***

Answer 8

plantigrade foot

others: limb salvage, avoiding amputation

Question 9

surgical indications?

types of procedures?

Answer 9

severe deformity
recurrent ulceration
failed conservative tx

exostectomies
reconstruction
arthodesis

Question 10

what are basic surgical principles of charcot?

Answer 10

fixation beyond affected joints to cover healthy joints

resect bone to assist in easing tension on soft tissues

superconstructs

maximize the mechanical function