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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

472
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Atherosclerosis III: Management01:26

Atherosclerosis III: Management

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Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
460
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

420
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Updated: Feb 18, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treating Charcot Arthropathy Is a Challenge: Explaining Why My Treatment Algorithm Has Changed.

Lawrence DiDomenico1, Zachary Flynn1, Michael Reed2

  • 1St. Elizabeth Medical Center, 8175 Market Street, Youngstown, OH 44512, USA.

Clinics in Podiatric Medicine and Surgery
|November 21, 2017
PubMed
Summary

Managing Charcot deformity remains difficult, with over 10% limb loss despite advancements. This study reviews current treatments and proposes a multidisciplinary approach with staged surgery to improve outcomes.

Keywords:
CharcotCharcot challengesCharcot reconstructionDiabetic limb salvageDiabetic reconstructionNeuroarthropathyStaged approach to CharcotSurgical algorithm for Charcot

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Area of Science:

  • Orthopedics
  • Podiatry
  • Diabetic Foot Management

Background:

  • Charcot deformity presents significant challenges in foot and ankle surgery.
  • Limb loss rates exceed 10% despite current knowledge and treatment options.

Observation:

  • This article evaluates conservative and traditional surgical management strategies.
  • It highlights the need for comprehensive patient care.

Findings:

  • A multidisciplinary team approach, including medical optimization and lifestyle changes, is crucial for patient healing.
  • A staged surgical protocol can enhance outcomes and reduce limb loss.

Implications:

  • Implementing a multidisciplinary strategy and staged surgical protocol may significantly improve Charcot deformity treatment.
  • This approach aims to decrease the high rate of limb loss in affected patients.