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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Charcot Foot

My sister has charcot foot. She had surgery and was in a splint while in a nursing home . I found a ulcer on her heel that the nursing home was uunaware of. She fractured her fibia and tibia and had to go back to surgery. She was placed in a external fixator. Her foot has deformed again and tthe decubs Iis still not healed. I found the decub Iin June or July of last yearl. She is a brittle diabetic. She is seeing a wound doctor that Iis going to deride her ulcer and place her on a wound vac. I feel thiis is a good move. I feel if this does not work amputation is next and I fear her stump Will not heal like heal and the risk factors are high. Do you have any response or regarding this. We live in southern Indiana and can you recommend a specialist. She Iis a medicare/medicare patient. I watch the doctors and people are brought on the show where they offer help.
Tue, 14 Apr 2015
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Orthopaedic Surgeon 's  Response
Hi,
your concerns are true, diabetic neuropathy foot do not respond well to wound if sugar is not under control, secondly amputations are good options in such cases if the primary healing is a concern. but its again true that issues with the wound of stump can itself cause problems.
I would recommend you to consult a diabetic foot specialist, as they are trained specially for these conditions,
The other important considerations,
keep limb clean and wash with dettol solun regularly and keep dry, inspect for any abrasions or wounds and keep them covered with dressings,
consult doctor if things become worst.
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Suggest Treatment For Charcot Foot

Hi, your concerns are true, diabetic neuropathy foot do not respond well to wound if sugar is not under control, secondly amputations are good options in such cases if the primary healing is a concern. but its again true that issues with the wound of stump can itself cause problems. I would recommend you to consult a diabetic foot specialist, as they are trained specially for these conditions, The other important considerations, keep limb clean and wash with dettol solun regularly and keep dry, inspect for any abrasions or wounds and keep them covered with dressings, consult doctor if things become worst.