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Surgical stabilization of nonplantigrade Charcot arthropathy of the midfoot.
Am J Orthop (Belle Mead NJ). 2007 Jul; 36(7):361-5.AJ

Abstract

Fifty-one adults (28 men, 23 women) with Charcot arthropathy of the midfoot underwent surgical correction. Mean patient age was 58 years (SD, 9.9 years). All affected feet were nonplantigrade and at high risk for ulcers. Before surgery, mean lateral talar-first metatarsal angle was 27.6 degrees (SD, 12.8 degrees). Corrective osteotomy was performed to achieve plantigrade alignment. At minimum 1-year follow-up, 44 of 51 patients had the desired outcome. Mean lateral talar-first metatarsal angle had decreased to 6.4 degrees (SD, 7.7 degrees). Despite its associated high complication rate, corrective osteotomy can help patients become ulcer- and infection-free and maintain their ability to walk with commercially available therapeutic footwear. A treatment algorithm is presented.

Authors+Show Affiliations

Loyola University Medical Center, Maywood, IL 60153, USA. mpinzu1@lumc.eduNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17694183

Citation

Pinzur, Michael S., and James Sostak. "Surgical Stabilization of Nonplantigrade Charcot Arthropathy of the Midfoot." American Journal of Orthopedics (Belle Mead, N.J.), vol. 36, no. 7, 2007, pp. 361-5.
Pinzur MS, Sostak J. Surgical stabilization of nonplantigrade Charcot arthropathy of the midfoot. Am J Orthop (Belle Mead NJ). 2007;36(7):361-5.
Pinzur, M. S., & Sostak, J. (2007). Surgical stabilization of nonplantigrade Charcot arthropathy of the midfoot. American Journal of Orthopedics (Belle Mead, N.J.), 36(7), 361-5.
Pinzur MS, Sostak J. Surgical Stabilization of Nonplantigrade Charcot Arthropathy of the Midfoot. Am J Orthop (Belle Mead NJ). 2007;36(7):361-5. PubMed PMID: 17694183.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical stabilization of nonplantigrade Charcot arthropathy of the midfoot. AU - Pinzur,Michael S, AU - Sostak,James, PY - 2007/8/19/pubmed PY - 2007/9/11/medline PY - 2007/8/19/entrez SP - 361 EP - 5 JF - American journal of orthopedics (Belle Mead, N.J.) JO - Am J Orthop (Belle Mead NJ) VL - 36 IS - 7 N2 - Fifty-one adults (28 men, 23 women) with Charcot arthropathy of the midfoot underwent surgical correction. Mean patient age was 58 years (SD, 9.9 years). All affected feet were nonplantigrade and at high risk for ulcers. Before surgery, mean lateral talar-first metatarsal angle was 27.6 degrees (SD, 12.8 degrees). Corrective osteotomy was performed to achieve plantigrade alignment. At minimum 1-year follow-up, 44 of 51 patients had the desired outcome. Mean lateral talar-first metatarsal angle had decreased to 6.4 degrees (SD, 7.7 degrees). Despite its associated high complication rate, corrective osteotomy can help patients become ulcer- and infection-free and maintain their ability to walk with commercially available therapeutic footwear. A treatment algorithm is presented. SN - 1934-3418 UR - https://www.unboundmedicine.com/medline/citation/17694183/Surgical_stabilization_of_nonplantigrade_Charcot_arthropathy_of_the_midfoot_ L2 - https://medlineplus.gov/diabeticfoot.html DB - PRIME DP - Unbound Medicine ER -