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Algorithms of optimization and standardization of surgical care in destructive forms of Charcott foot

https://doi.org/10.20340/vmi-rvz.2025.2.CLIN.7

Abstract

Relevance. The problem of standardization of foot bone lesions and regeneration of bone structures in diabetic foot syndrome has currently acquired particular relevance due to the complexity of the mechanisms of occurrence of this pathology, extended zones of lesions and resistance to the use of traditional methods of treatment.

The aim of the study. Standardization and optimization of surgical care for patients with destructive form of diabetic neuroosteoarthropathy.

Materials and methods. The work summarized and presented classifications of bone structure lesions, taking into account the convenience of their use in practical surgery. An original approach to solving one of the urgent problems of modern surgery, concerning the treatment of pathological processes in the bone elements of the feet in patients with diabetic foot syndrome, was proposed and implemented.

Conclusions. 1. The developed approach to the reconstruction of bone elements of the foot ensures an increase in the efficiency of regenerative processes of bone structures. 2. The introduction of this technique significantly reduces the rehabilitation period for patients with restoration of the supporting function of the lower extremities due to targeted surgical intervention in the area of affected tissues. 

About the Authors

K. A. Koreyba
Kazan State Medical University
Russian Federation

Konstantin A. Koreyba, Cand. Sci. (Med.), Honored Doctor of the Republic of Tatarstan, Associate Professor of the Department of Surgical Diseases

st. Butlerova, 49, Kazan, Republic of Tatarstan, 420012



E. P. Krivoshchekov
Samara State Medical University
Russian Federation

Evgeniy P. Krivoshchekov, Dr. Sci. (Med.), Professor of the Department of Surgery with the Course of Cardiovascular Surgery, Institute of Postgraduate Education

89, Chapaevskaya St., Samara, 443099



N. A. Lysov
Medical University "Reaviz"
Russian Federation

Nikolay A. Lysov, Dr. Sci. (Med.), Professor, Honorary Worker of Higher Professional Education of the Russian Federation, Professor of the Department of Surgical Diseases

227, Chapaevskaya St., Samara, 443001



L. N. Gatina
Clinical hospital "RZDMedicine" Kazan
Russian Federation

Landysh N. Gatina, Surgeon of the Purulent Surgery Department

65, st. N. Ershova, Kazan, Republic of Tatarstan, 420061



P. S. Lukin
Perm State Medical University named after Academician E.A. Wagner
Russian Federation

Pavel S. Lukin, Cand. Sci. (Med.), Associate Professor of the Department of Faculty Surgery No. 2

26, st. Petropavlovskaya, Perm, 614000



References

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8. 8 Koreyba K.A., Minabutdinov A.R., Krivoshchekov E.P., Lysov N.A., Rakhimov В.M., Khoroshilov M.Yu. Results of Controlled tissue regeneration in surgery for diabetic foot syndrome. Bulletin of the Medical Institute "REAVIZ" (Rehabilitation, Doctor And Health). 2024;14(4):51-59. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.4.CLIN.5

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13. 13 Krivoshchekov E.P., Medvedchikov-Ardiya M.A., Seregin A.S. Purulent surgical diseases. Moscow. 2024. (In Russ.).

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16. 16 International working group on the diabetic foot. The consensus report: Footwear and off-loading for the diabetic foot – an evidence based guideline. DVD edition, Amsterdam, 2007.


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For citations:


Koreyba K.A., Krivoshchekov E.P., Lysov N.A., Gatina L.N., Lukin P.S. Algorithms of optimization and standardization of surgical care in destructive forms of Charcott foot. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2025;15(2):125-131. (In Russ.) https://doi.org/10.20340/vmi-rvz.2025.2.CLIN.7

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