• Disease
  • Charcot
  • Charcot Foot
  • Michael S Pinzur

    Prominent publications by Michael S Pinzur

    KOL Index score: 11429

    There is both increased interest and awareness in diabetes-associated Charcot foot arthropathy. The number of affected patients will likely increase as the incidence of both diabetes and morbid obesity increases. Many experts now favor surgical correction of the deformity rather than longitudinal management with accommodative bracing. In patients with open wounds and exposed bone and/or chronic osteomyelitis, it is controversial whether resolution of the bony infection should be achieved ...

    Also Ranks for: Charcot Foot |  surgical correction |  ring fixation |  osteomyelitis time |  resolution infection
    KOL Index score: 10811

    BACKGROUND: Bone-bridging (arthrodesis of the distal tibia and fibula) at the time of transtibial amputation is a controversial operative technique that is anecdotally reported to improve the weightbearing capacity of the residual limb and to decrease residual limb discomfort.

    METHODS: Thirty-two consecutive patients with multiple diagnoses had transtibial amputation with a distal tibial-fibular bone-bridge, all done by a single surgeon (MAP). At an average of 16.3 months after surgery ...

    Also Ranks for: Transtibial Amputation |  bone bridging |  distal tibia |  residual limb |  peq fibula follow
    KOL Index score: 10730

    Foot infections are a common and serious problem in persons with diabetes. Diabetic foot infections (DFIs) typically begin in a wound, most often a neuropathic ulceration. While all wounds are colonized with microorganisms, the presence of infection is defined by ≥2 classic findings of inflammation or purulence. Infections are then classified into mild (superficial and limited in size and depth), moderate (deeper or more extensive), or severe (accompanied by systemic signs or metabolic ...

    Also Ranks for: Foot Infections |  antibiotic treatment |  bone infection |  debridement diabetic |  infected wounds
    KOL Index score: 10568

    BACKGROUND: The development of Charcot changes is known to be associated with a high rate of recurrent ulceration and amputation. Unfortunately, the effect of Charcot arthropathy on quality of life in diabetic patients has not been systematically studied because of a lack of a disease-specific instrument. The purpose of this study was to develop and test an instrument to evaluate the health-related quality of life of diabetic foot disease.

    METHODS: Subjects diagnosed with Charcot ...

    Also Ranks for: Charcot Arthropathy |  diabetic foot |  quality life |  internal consistency |  general health
    KOL Index score: 10118

    BACKGROUND: Tibiocalcaneal arthrodesis with retrograde intramedullary nailing has gained acceptance as a salvage procedure for a multitude of ankle and hindfoot disorders and is frequently used in Charcot arthropathy of the ankle. Because of the severe osteopenia often associated with Charcot arthropathy of the ankle, an area of stress concentration leading to stress fracture at the proximal aspect of the nail has been identified.

    METHODS: To determine if this potential complication can ...

    Also Ranks for: Ankle Arthrodesis |  charcot arthropathy |  intramedullary humans |  salvage procedure |  average age
    KOL Index score: 9604

    OBJECTIVE: To compare risks of lower-extremity amputation between patients with Charcot arthropathy and those with diabetic foot ulcers.

    RESEARCH DESIGN AND METHODS: A retrospective cohort of patients with incident Charcot arthropathy or diabetic foot ulcers in 2003 was followed for 5 years for any major and minor amputations in the lower extremities.

    RESULTS: After a mean follow-up of 37 +/- 20 and 43 +/- 18 months, the Charcot and ulcer groups had 4.1 and 4.7 amputations per 100 ...

    Also Ranks for: Charcot Arthropathy |  amputation risk |  diabetic foot |  5 years |  retrospective cohort patients
    KOL Index score: 9379

    The current guidelines for the management of diabetes in adults have recommended strict glycemic control, with a target hemoglobin A1c of 7.0%. Increasing evidence has shown that strict glycemic control decreases the risk of developing the organ system complications associated with diabetes. Elevated hemoglobin A1c levels have been theorized as a risk factor for complications after elective foot and ankle surgery. To test this hypothesis, we reviewed the Department of Veterans Affairs ...

    Also Ranks for: Elective Foot |  ankle surgery |  hemoglobin a1c |  risk complications |  comorbid conditions
    KOL Index score: 9012

    Anatomic restoration of displaced fracture-dislocation of the tarsometatarsal junction of the foot is essential, as even "minor" disruptions of this joint complex leads to poor clinical results. In order to determine a "key" element associated with good or poor functional outcomes, 11 patients with excellent radiographic results following surgical treatment of unilateral closed Lisfranc fracture-dislocation of the tarsometatarsal joint of the foot were evaluated at an average of 41.2 ...

    Also Ranks for: Tarsometatarsal Joint |  functional outcome |  internal fractures |  fracture dislocation |  anatomic reduction
    KOL Index score: 8741

    We performed a prospective, randomized clinical trial to determine whether continuous infusion of bupivacaine hydrochloride decreased the use of narcotics for the relief of pain after an amputation. Twenty-one patients who were to have an amputation of the lower extremity because of ischemic necrosis secondary to peripheral vascular disease were divided into two groups with use of a table of random numbers. Group A (the treatment group) included nine patients who were to have a ...

    Also Ranks for: Lower Extremity |  patients amputation |  continuous infusion |  peripheral vascular disease |  regional anesthetic
    KOL Index score: 8677

    Treatment of Charcot foot osteoarthropathy has emerged as a major component of the American Orthopaedic Foot and Ankle Society (AOFAS) Diabetes 2000 Initiative. A two-part survey described treatment patterns and current footwear use of patients with Charcot osteoarthropathy of the foot and ankle. In the first part, 94 consecutive patients with a history of Charcot foot and ankle presenting for care were questioned on their foot-specific treatment and current footwear use. A history of ...

    Also Ranks for: Charcot Foot |  weightbearing treatment |  total contact cast |  aged arthropathy |  diabetes complications
    KOL Index score: 8635

    Twenty patients with severe neuropathic (Charcot) ankle deformities underwent 21 attempted ankle fusions with a retrograde locked intramedullary nail as an alternative to amputation. All had insensate heel pads and had failed at nonoperative methods of accommodative ambulatory bracing. In 11, the talus was either absent, or the deformity was of sufficient magnitude to require talectomy to align the calcaneus under the tibia for plantigrade weightbearing. Ages ranged from 28 to -68 ...

    Also Ranks for: Ankle Fusion |  intramedullary nail |  retrograde locked |  calcaneus tibia |  10 patients
    KOL Index score: 8600

    BACKGROUND: Charcot foot arthropathy negatively impacts the health-related quality of life (HRQL) of affected individuals. The disease process often is responsible for the development of significant deformity and disability, often progressing to lower extremity amputation. Many patients are morbidly obese, immunocompromised, and have complex wounds with underlying bony infection or poor bone quality, making operative correction and internal fixation problematic.

    METHODS: Using a ...

    Also Ranks for: Midfoot Deformity |  operative correction |  ring fixation |  charcot foot |  morbid obesity
    KOL Index score: 8564

    Foot infections are a common and serious problem in persons with diabetes. Diabetic foot infections (DFIs) typically begin in a wound, most often a neuropathic ulceration. While all wounds are colonized with microorganisms, the presence of infection is defined by ≥2 classic findings of inflammation or purulence. Infections are then classified into mild (superficial and limited in size and depth), moderate (deeper or more extensive), or severe (accompanied by systemic signs or metabolic ...

    Also Ranks for: Foot Infections |  antibiotic therapy |  diabetic patients |  bone infection |  soft tissue
    KOL Index score: 8462

    BACKGROUND: Diabetic foot ulcers, foot infection, Charcot foot arthropathy, and lower extremity amputation have a severe negative effect on the health-related quality of life in individuals with diabetes. The purpose of this study was to determine if there is a relationship between these negative effects and cognitive impairment or clinical depression.

    METHODS: Sixty adults with diabetes completed the Short Form 36 (SF-36) Health Survey questionnaire, two screening examinations for ...

    Also Ranks for: Foot Ulcer |  health quality life |  cognitive impairment |  diabetic patients |  negative impact


    Michael S Pinzur: Influence Statistics

    Sample of concepts for which Michael S Pinzur is among the top experts in the world.
    Concept World rank
    cutaneous thermal sensitivity #1
    undergoing charcot #1
    bonebridging distal tibia #1
    subjects custom orthoses #1
    wounds properly #1
    patients medical optimization #1
    prophylactic skin nail #1
    infection conservative program #1
    ankle talus #1
    onepage written survey #1
    current orthopaedic textbooks #1
    effective method stabilization #1
    correction charcot #1
    highest psychosocial scores #1
    attitudes topic retention #1
    prophylactic foot guidelines #1
    forefoot syme #1
    musculotendinous lengthening #1
    midfoot amputation resolution #1
    arthropathy underwent #1
    energystoring prosthetic foot #1
    symes ankle disarticulation #1
    aofasahs ffi #1
    nail charcot #1
    diabetic forefoot infection #1
    dynamic electromyography patients #1
    level proximal screw #1
    feasibility studies tibia #1
    osteomyelitis time #1
    states diabetic #1
    glucose glycosylated hemoglobin #1
    neurogenic diabetic #1
    total contact technique #1
    failure modern medicine #1
    weightbearing prosthetic #1
    uncontrolled infection chapter #1
    correction acquired deformity #1
    brachioradialis finger #1
    arthropathy completed #1
    1404 3109 degrees #1
    individuals ulcer formation #1
    osteomyelitis uncontrollable infection #1
    multiple diabetic morbidities #1
    limited softtissue stripping #1
    disarticulation foot #1
    midfoot amputees cop #1
    prosthetic socket loading #1
    required daily adjustments #1

    Key People For Charcot Foot

    Top KOLs in the world
    David George Armstrong
    diabetic foot wound healing diabetes mellitus
    Michael S Pinzur
    charcot foot diabetic patients transtibial amputation
    Andrew J M Boulton
    diabetic foot diabetes mellitus corneal confocal microscopy
    Michael E Edmonds
    diabetic foot charcot neuroarthropathy minor amputation
    William J JEFFCOATE
    diabetic foot wound healing diabetes mellitus
    Robert G Frykberg
    diabetic foot charcot arthropathy chronic wounds

    Michael S Pinzur:Expert Impact

    Concepts for whichMichael S Pinzurhas direct influence:Charcot foot,  Diabetic foot,  Charcot arthropathy,  Operative correction,  Diabetic patients,  Surgical correction,  Syme ankle disarticulation,  Transtibial amputation.

    Michael S Pinzur:KOL impact

    Concepts related to the work of other authors for whichfor which Michael S Pinzur has influence:Diabetic foot,  Diabetes mellitus,  Wound healing,  Ankle fractures,  Charcot neuroarthropathy,  Rheumatoid arthritis,  Limb salvage.



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    Department of Orthopaedic Surgery & Rehabilitation, Loyola University Health System, Maywood, IL, USA | Orthopaedic Surgery, Loyola University Medical Center, Maywood, USA. | Loyola University Medical Center, Maywood, IL, USA | Loyola University Heal