Summer department's joint fracture that the diabetic should be careful

Summer department's joint fracture that the diabetic should be careful
Mr. Chen had suffered from diabetes for many years, suddenly thought the foot ached, the instep was getting swollen quickly while taking a walk a few days ago, he thought it was tired, had not taken notice of. The foot is more and more swollen a few days later, Mr. Chen went to the hospital to see suddenly, this just knew it was fracture. And, the doctor tells him, fracture relates to his diabetes for many years, fortunately treat in time, otherwise the very possible deformity of foot.
Will diabetes still cause the question of the bone? The ankle head of the department of surgery Zhang JianZhongs of subsidiary dept. of orthopedics of Beijing Tongren Hospital of Capital University of Medical Sciences, foot express when being interviewed by " life Times ", diabetics have related to dept. of orthopedics and more and more questions in recent years, as " baffled " like Mr. Chen Fracture is not rarely seen.
"The surgeon did not pay attention to diabetes very much in the past, but nowadays the diabetic came to see the gradual increase of osteoarthrosis, among them see at most with the question of the foot ankle. " Zhang JianZhong says. It is introduced, diabetes mainly has " four cases of crime " to damage the bone joint :
First, diabetes causes the nerve of the ability to move around, blood vessel to be given much trouble, ulcer happens in the skin, amalgamate and infected with again, develop into osteomyelitis.
Second, because the lower extremities are ischemic, cause the bone joint of the foot to change, especially foot deformity, such as arch of foot collapse, hammer toe, thumb valgus, etc. Once the deformity takes place in the foot, the harmony of walking becomes bad, the foot outstanding position will receive more friction, the skin is easier to break through broken.
Third, ischemic necrosis of the toe, cause gangrene, will influence the skeleton too finally.
Fourth, diabetes nerve osteoarthrosis, also call " department joint of summer " . The situation of the above-mentioned Mr. Chen belongs to this kind of question. The patient often has diabetic medical history for many years, the glycosuria medical history of more than 60% of the patients is over 10 years, fracture of the middle part of foot takes place in case of not having any inducement. Mr. Chen have excessive sport, fall either, fracture take place during stroll.
Zhang JianZhong says, the diabetic presents department's joint fracture in summer of the foot, pain that the patient feels is not often so violent as general fracture, in addition the part is red, swollen, hot,etc. behave, it is very easy to obscure with infecting, if patient and doctor can not know clearly to this disease, will probably act as and infect managing, but it must be invalid to diminish inflammation and treat. If take an X-ray photograph, can find fracture and joint dislocation. It is introduced, not very clear that mechanism takes place in this kind of diabetic's characterized fracture, the bone is like the quilt " Fuse " The same,so patient fracture will take place to be known in case of not using strength.
As to the treatment of joint fracture of the department in summer, Zhang JianZhong points out, suffering from the foot should apply the brake, break the gypsum, avoid shouldering a heavy task as soon as possible. This kind of fracture applies the brake for time for at least 3 months, it is one time longer than general fracture. In addition, find and the earlier deal with correctly, the faster resume. If suffer from the foot and still move about or shoulder a heavy task, will be more and more swollen, it is unable to walk to cause finally, caused the deformity, must solve the problem by the operation at that time.
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