Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy.
Publication/Presentation Date
10-1-2018
Abstract
Charcot neuroarthropathy is a disabling pathology in the foot and ankle. Midfoot Charcot is most common and results in progressive deformity. We describe a 2-step approach to surgical reconstruction, referred to as the lengthen, alignment, and beam technique. There is an initial surgery involving acute equinus correction through Achilles tendon lengthening and gradual correction with hexapod external fixation to align the deformity, followed by minimally invasive medial and lateral column beaming. This surgical protocol allows for adequate reduction of deformity. The second stage allows for rigid intramedullary fixation extending beyond the pathologic joints via a minimally invasive technique.
Volume
35
Issue
4
First Page
497
Last Page
507
ISSN
1558-2302
Published In/Presented At
LaPorta, G. A., & D'Andelet, A. (2018). Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy. Clinics in podiatric medicine and surgery, 35(4), 497–507. https://doi.org/10.1016/j.cpm.2018.05.008
Disciplines
Medicine and Health Sciences
PubMedID
30223956
Department(s)
Department of Surgery
Document Type
Article