Intramedullary Foot Fixation for Midfoot Charcot Neuroarthropathy

Abstract Midfoot Charcot collapse commonly occurs through the tarsometatarsal and/or midtarsal joints, which creates the characteristic “rocker bottom” deformity. Intramedullary metatarsal fixation spanning the tarsus into the talus and/or calcaneus is a recently developed method for addressing unst...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of foot and ankle surgery 2012-07, Vol.51 (4), p.531-536
Main Authors: Lamm, Bradley M., DPM, FACFAS, Siddiqui, Noman A., DPM, MHA, AACFAS, Nair, Ajitha K., DPM, MPH, LaPorta, Guido, DPM, MS, FACFAS
Format: Article
Language:English
Subjects:
arch collapse
Arthropathy, Neurogenic - diagnostic imaging
Arthropathy, Neurogenic - surgery
Biological and medical sciences
Bone Screws
diabetes
Diabetes. Impaired glucose tolerance
Diseases of the osteoarticular system
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Fluoroscopy
Foot Bones - diagnostic imaging
Foot Bones - surgery
foot deformity
foot fracture
Humans
Injuries of the limb. Injuries of the spine
Internal Fixators
Medical sciences
Metatarsal Bones - surgery
Orthopedic Procedures - methods
Orthopedics
Radiography, Interventional
rocker bottom foot
Traumas. Diseases due to physical agents
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Midfoot Charcot collapse commonly occurs through the tarsometatarsal and/or midtarsal joints, which creates the characteristic “rocker bottom” deformity. Intramedullary metatarsal fixation spanning the tarsus into the talus and/or calcaneus is a recently developed method for addressing unstable midfoot Charcot deformity. The intramedullary foot fixation technique has various advantages when addressing midfoot Charcot deformity in the neuropathic patient. These advantages include anatomical realignment, minimally invasive fixation technique, formal multiple joint fusion, adjacent joint fixation beyond the level of Charcot collapse, rigid interosseus fixation, and preservation of foot length. The goals of the intramedullary foot fixation procedure are to create a stable, plantigrade, and ulcer-free foot, which allows the patient to ambulate with custom-molded orthotics and shoes.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2012.04.021