Charcot Neuroarthropathy in a Diabetic Patient. The Need for a Multidisciplinary Interventions

Abstract

The author presents the case of a 63-year-old man who was diagnosed with type 2 diabetes 15years ago (2004) and with ulcers in both feet with 12years of clinical course (which have required hospital admissions). The patient was diagnosed with moderate Charcot neuroarthropathy in 2009 using foot X-rays, receiving no specific treatment for this condition. The ulcers had been treated with multiple healing products, with poor results, for ten years.

The author presents the implementation of a care plan called DOMINATE for wound treatment and improved metabolic control of the concomitant condition. This case illustrates how important it is that health care providers consider an urgent need to establish a multidisciplinary care plan for the treatment of patients with non-healing wounds so that these patients do not have to wait months or even years to be assessed by different specialists.