The role of an extended medial column arthrodesis for Charcot midfoot neuroarthropathy

Claire M. Capobianco, John J. Stapleton, Thomas Zgonis

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

The etiology of diabetic Charcot neuroarthropathy involving the midfoot often includes an inciting traumatic event or repetitive micro-trauma from an uncompensated biomechanical imbalance that potentiates an incompletely understood pathway leading to a rocker-bottom foot deformity and ulceration. In the setting of a severe Charcot foot fracture and/or dislocation with obvious osseous instability, diagnostic delay can potentiate the limb-threatening sequelae of infected midfoot ulcerations in this patient population. In this article, the authors discuss the thought process as well as the advantages of performing an extended medial column arthrodesis for selected Charcot midfoot deformities.

Original languageEnglish (US)
JournalDiabetic Foot and Ankle
Volume1
DOIs
StatePublished - Dec 1 2010

Keywords

  • Charcot foot
  • Diabetes mellitus
  • External fixation
  • Locking plate technology
  • Midfoot arthrodesis

ASJC Scopus subject areas

  • Internal Medicine
  • Podiatry

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