Midfoot Charcot Reconstruction with Intramedullary Beaming: Clinical Outcomes and Complications

Foot & Ankle Orthopaedics

SamuelFord¹ 

关键词: Charcot;    Osteoarthropathy;    Midfoot;    Reconstruction;    Diabetes;    Infection;    Intramedullary Beam;   

DOI  :  10.1177/2473011418S00005

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Midfoot/ForefootIntroduction/Purpose:Midfoot Charcot osteoarthropathy is characterized by non-infectious osteolysis that often leads to midfoot collapse and resultant ulceration. Deformity and ulceration often lead to deep infection and amputation. Midfoot reconstruction with intramedullary screws (beams) is a recently described technique that provides deformity correction and a stable construct without the extensive exposure required for plate fixation. The purpose of this study is to examine the clinical outcomes and complications of patients with midfoot Charcot managed with midfoot osteotomy, realignment arthrodesis, and stabilization using intramedullary beams.Methods:A surgical database query of a tertiary-care foot and ankle center was performed from January 2013 to July 2016 to identify patients with midfoot Charcot who underwent corrective osteotomy with internal beam fixation. 24 patients (Median Age: 60; Median BMI: 32.5; Diabetic: 79%; Insulin Dependent: 74%) were identified and inclu...

【 授权许可】

CC BY