Abductor hallucis muscle flap and staged medial column arthrodesis for the chronic ulcerated charcot foot with concomitant osteomyelitis.

Claire M. Capobianco, Thomas Zgonis

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Midfoot ulceration is a common sequela of the diabetic Charcot rocker-bottom deformity. Because redundant soft tissue from a non- weight-bearing area is often scarce in this area of the foot, soft-tissue coverage may be challenging. Wound closure may be difficult to achieve with local wound care and off-loading techniques if the predisposing deformity that caused the ulceration is not addressed. In the same setting, surgical reconstruction is often feared when open wounds are present, given the potential for infection. Approaching these wounds with a rational stepwise and staged approach is prudent to eradicate the underlying infection and also to achieve durable wound closure and long-term deformity correction. The authors present the use of a local muscle flap and circular external fixation for closure of a recalcitrant Charcot plantar-medial midfoot ulceration and also discuss different adjunctive modalities to facilitate soft-tissue reconstruction in the diabetic foot.

Original languageEnglish (US)
Pages (from-to)269-273
Number of pages5
JournalFoot & ankle specialist
Volume3
Issue number5
StatePublished - Oct 2010

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Arthrodesis
Osteomyelitis
Foot
Muscles
Wounds and Injuries
Diabetic Foot
Weight-Bearing
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Abductor hallucis muscle flap and staged medial column arthrodesis for the chronic ulcerated charcot foot with concomitant osteomyelitis. / Capobianco, Claire M.; Zgonis, Thomas.

In: Foot & ankle specialist, Vol. 3, No. 5, 10.2010, p. 269-273.

Research output: Contribution to journalArticle

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