2009
DOI: 10.1016/j.fcl.2009.04.004
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Superconstructs in the Treatment of Charcot Foot Deformity: Plantar Plating, Locked Plating, and Axial Screw Fixation

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Cited by 131 publications
(72 citation statements)
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“…If revascularization is not possible, it is our opinion that these patients pose a high risk of failure of any surgical procedure and may be best served by amputation. 13 The presence of an ulcer that does not heal with medical optimization and off-weighting through contact casting should raise the suspicion of a deep infection. Underlying abscess and osteomyelitis frequently are seen in patients with Wagner grade 3 ulcers and must be treated operatively for ulcer healing to occur.…”
Section: Rationale For Operative Correction Of Deformitymentioning
confidence: 99%
“…If revascularization is not possible, it is our opinion that these patients pose a high risk of failure of any surgical procedure and may be best served by amputation. 13 The presence of an ulcer that does not heal with medical optimization and off-weighting through contact casting should raise the suspicion of a deep infection. Underlying abscess and osteomyelitis frequently are seen in patients with Wagner grade 3 ulcers and must be treated operatively for ulcer healing to occur.…”
Section: Rationale For Operative Correction Of Deformitymentioning
confidence: 99%
“…20 Typical fixation methods have proven futile due to poor bone quality, poor vascularity, and impaired nutrition of glycosylated tissue in diabetes patients and have thus failed postoperatively. 21 Careful dissection is of utmost importance in these procedures as well as anatomy of the soft tissue can be markedly disturbed. Oftentimes, tendons remain attached to their respective attachment sites but become quite mobilized due to the progression of CN.…”
Section: Current Concepts In Surgical Managementmentioning
confidence: 99%
“…Stress risers of already weak cortical bone are eliminated in this technique. 21 Fusion can be continued proximally by denuding all cartilage of the respective metatarsal cuneiform joint as well as the naviculo-cuneiform joints and the talonavicular joint. 16 Although CN affects the ankle and rearfoot much less frequently, the resultant deformity leads to a deformity that is much more limb threatening where amputation may be inevitable without intervention.…”
Section: Current Concepts In Surgical Managementmentioning
confidence: 99%
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