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糖尿病夏克氏足是相对罕见 ,但却是一种严重的、致畸率极高的糖尿病并发症。糖尿病夏克氏足与感觉神经、运动神经和自主神经 3种神经病变有关。本病早期无痛或微痛 ,伴局部肿胀、热感 ,易被漏诊和误诊。修复后的骨隆起可导致局部压力增加 ,易致溃疡形成。全接触性支具 (TCC)是目前公认的治疗糖尿病夏克氏足最快速、最有效的方法。它可以使足底面压力重新分布减少承重力 ,防止足畸形又可以带支具行走。本文从糖尿病夏克氏足成因、TCC治疗适应症、禁忌症、作用特点、停止穿支具时间及TCC并发症几方面进行了论述
Diabete Shaker’s foot is relatively rare, but it is a serious, high teratogenic rate of diabetic complications. Diastolic shark’s foot and sensory nerve, motor nerve and autonomic nerve neuropathy 3. Early painless or mild pain, with local swelling, heat, easily missed diagnosis and misdiagnosis. Repaired bone uplift can lead to local pressure increases, easy to cause ulcer formation. Full contact brace (TCC) is now recognized as the fastest and most effective way to treat Diabetes. It can redistribute pressure on the underside of the foot to reduce the load-bearing capacity to prevent foot deformity and can walk with a brace. This article discusses the causes of Diabetes Scarx foot syndrome, TCC treatment indications, contraindications, features of action, time to stop wearing braces and complications of TCC