diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM2014460-65diaendo-6700Research ArticleСиндром диабетической стопыDiabetic footКритерии продолжительности иммобилизации пораженной конечности при диабетической нейроостеоартропатии ШаркоCriteria of immobilization duration of the affected foot in diabetic Charcot neuro-osteoarthropathyДеминаАнастасия ГеннадьевнаDeminaAnastasia Gennad'evna

врач-подиатр кабинета "Диабетическая стопа" СПб Территориального диабетологического центра, НИЛ диабетологии Института эндокринологии ФГБУ Федеральный медицинский исследовательский центр им. В.А. Алмазова

MD, Podiatrist in Saint-Petersburg City Diabetes Centre, research assistant of Diabetology Laboratory in Endocrinology Institute of Federal Almazov Scientific Medical Centre

ans.dem@bk.ruБреговскийВадим БорисовичBregovskiyVadim Borisovich

доктор медицинских наук, врач-подиатр кабинета "Диабетическая стопа" СПб Территориального диабетологического центра, ведущий научный сотрудник НИЛ диабетологии Института эндокринологии ФГБУ Федеральный медицинский исследовательский центр им. В.А. Алмазова

MD, PhD, Podiatrist in Saint-Petersburg City Diabetes Centre, leading researcher of Diabetology Laboratory in Endocrinology Institute of Federal Almazov Scientific Medical Centre

podiatr@inbox.ruКарповаИрина АльбертовнаKarpovaIrina Al'bertovna

кандидат медицинских наук, заведующая Санкт-Петербургским территориальным диабетологическим центром

MD, PhD, Head of Saint-Petersburg City Diabetes Centre

iakar@mail.ruСанкт-Петербургский территориальный диабетологический центр, Санкт-Петербург; ФБГУ Федеральный медицинский исследовательский центр им. В.А. Алмазова, Санкт-ПетербургРоссияSaint-Petersburg City Diabetes Centre; Federal Almazov Scientific Medical Centre, Saint-PetersburgRussian FederationСанкт-Петербургский территориальный диабетологический центр, Санкт-ПетербургРоссияSaint-Petersburg City Diabetes CentreRussian Federation2014181020141746065Copyright © Демина А.Г., Бреговский В.Б., Карпова И.А., 20142014Демина А.Г., Бреговский В.Б., Карпова И.А.Demina A.G., Bregovskiy V.B., Karpova I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/6700

Длительная разгрузка является основным методом лечения острой стадии артропатии Шарко. Предполагается, что показания к прекращению иммобилизации и переходу к ходьбе должны быть основаны на клинических признаках прекращения воспаления и данных объективных методов. Однако в современной литературе отсутствует единое мнение о том, какие обследования и методы достаточны для определения завершения острой стадии и перевода больного от иммобилизации к ходьбе. В работе обсуждаются клинические методы оценки активности артропатии и специальные исследования, применяемые для этой цели, их достоинства и недостатки.

Long-term offloading is the key factor in the treatment of the acute stage of Charcot foot. The indication for remobilization and transition of the affected foot to weight-bearing activities is believed to be based on two factors: the absence of the clinical signs of inflammation and results of the objective diagnostic tests. At the present time, consensus about appropriate methods sufficient for initiating weight-bearing activities after immobilization is absent. This paper discusses current data on clinical and laboratory tests and methods and describes their advantages and disadvantages.

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The authors declare that there are no conflicts of interest present.