A Retrospective Analysis of 50 Consecutive Charcot Diabetic Salvage Reconstructions

Intramedullary fixation in severe Charcot osteo-neuroarthropathy with foot deformity results in adequate correction without loss of correction – Results from a multi-centre study

“…No significant loss of reduction occurred in the observed clinical course which is in contradiction with the literature where loss of reduction is reported as typical problem [2,3,[8][9][10]36]. This seems to be a crucial issue in correction of CN because loss of correction might lead to non-union and re-ulceration in 16-60% [2,3,[8][9][10]. In this study, the non-union rate was low (2%), and the re-ulceration rate was acceptable (13%) [2,3,[8][9][10].…”

“…In this study, the major amputation rate was 4% which is lower than previously reported [2,[8][9][10]. The achieved correction was favourable.…”

“…dorsiflexion of the forefoot with respect to the hindfoot) which corresponds to negative lateral TMT angles, and abduction which corresponds to negative dorsoplantar TMT angles. No significant loss of reduction occurred in the observed clinical course which is in contradiction with the literature where loss of reduction is reported as typical problem [2,3,[8][9][10]36]. This seems to be a crucial issue in correction of CN because loss of correction might lead to non-union and re-ulceration in 16-60% [2,3,[8][9][10].…”

“…associated both with the different types of internal fixation (using plates, staples and screws) and/or external fixation [2,[8][9][10]. Intramedullary fixation with solid bolts (Midfoot Fusion Bolt [MFB], MFB, Synthes GmbH, Oberdorf, Switzerland, Fig.…”

Surgical Correction of Foot Deformity in Charcot Osteoarthropathy

“…Данный вид деформации является наиболее характерным для пациентов с ДНОАП [8]. Восстановление сводчатой структуры стопы осуществляется в таких случаях посредством остеотомии дислоцированных костей с вы-полнением артродеза суставов предплюсны, остеосинтез при этом может осуществляться с помощью пластин, винтов, аппарата внешней фиксации [15]. В данном случае для артроде-зирования суставов предплюсны нами были использованы спицы Илизарова, а во избежа-ние укорочения стопы дополнительно выпол-нена костная аутопластика, кроме того, были произведены пластика ахиллова сухожилия и иссечение язвенного дефекта подошвенной по-верхности стопы.…”