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Midtarsal Reconstructive Arthrodesis Using a Multi-Axial Correction Fixator in Charcot Midfoot Arthropathy.
Foot Ankle Spec. 2015 Dec; 8(6):472-8.FA

Abstract

Reconstructive surgeries for Charcot foot are challenging due to complicated conditions and comorbidities including poor bone quality, sensory abnormalities, poor vascularity, and immunity impairment. Although various fixation devices, including screws, plates, and external fixators, have been used in the surgical reconstruction of the Charcot midfoot, all of these devices are associated with some disadvantages. This study aims to evaluate the outcome of the Multi-Axial Correction (MAC) monolateral external fixation system for the reconstructive surgery of midfoot Charcot neuroarthropathy. A total of 11 feet with midfoot Charcot arthropathy were treated surgically using the MAC fixation system solely or accompanied with minimal internal fixation. The mean postoperative follow-up was 29 (range = 12-44) months. The mean postoperative timing of the MAC system removal was 8.7 (range = 5-14) weeks. No pin tract infections were observed. All patients went on to successful union and correction of a rocker bottom deformity. No cases resulted in limb amputation. All patients were able to ambulate with custom diabetic shoes and insoles in 9 patients (10 feet) and commercially available shoes in 1 patient (1 foot). This study suggests that the MAC system can be an acceptable, easy option for the surgical treatment of midfoot Charcot arthropathy.

LEVEL OF EVIDENCE

Therapeutic, Level IV: Case series.

Authors+Show Affiliations

North Carolina Orthopaedic Clinic, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina (TM, SGP)Duke Fuqua School of Business, Durham, North Carolina (SGP).North Carolina Orthopaedic Clinic, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina (TM, SGP)Duke Fuqua School of Business, Durham, North Carolina (SGP) selene.parekh@gmail.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26123549

Citation

Matsumoto, Takumi, and Selene G. Parekh. "Midtarsal Reconstructive Arthrodesis Using a Multi-Axial Correction Fixator in Charcot Midfoot Arthropathy." Foot & Ankle Specialist, vol. 8, no. 6, 2015, pp. 472-8.
Matsumoto T, Parekh SG. Midtarsal Reconstructive Arthrodesis Using a Multi-Axial Correction Fixator in Charcot Midfoot Arthropathy. Foot Ankle Spec. 2015;8(6):472-8.
Matsumoto, T., & Parekh, S. G. (2015). Midtarsal Reconstructive Arthrodesis Using a Multi-Axial Correction Fixator in Charcot Midfoot Arthropathy. Foot & Ankle Specialist, 8(6), 472-8. https://doi.org/10.1177/1938640015592835
Matsumoto T, Parekh SG. Midtarsal Reconstructive Arthrodesis Using a Multi-Axial Correction Fixator in Charcot Midfoot Arthropathy. Foot Ankle Spec. 2015;8(6):472-8. PubMed PMID: 26123549.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Midtarsal Reconstructive Arthrodesis Using a Multi-Axial Correction Fixator in Charcot Midfoot Arthropathy. AU - Matsumoto,Takumi, AU - Parekh,Selene G, Y1 - 2015/06/29/ PY - 2015/7/1/entrez PY - 2015/7/1/pubmed PY - 2016/9/28/medline KW - Charcot arthropathy KW - MAC system KW - diabetes mellitus KW - external fixator KW - midfoot fusion SP - 472 EP - 8 JF - Foot & ankle specialist JO - Foot Ankle Spec VL - 8 IS - 6 N2 - UNLABELLED: Reconstructive surgeries for Charcot foot are challenging due to complicated conditions and comorbidities including poor bone quality, sensory abnormalities, poor vascularity, and immunity impairment. Although various fixation devices, including screws, plates, and external fixators, have been used in the surgical reconstruction of the Charcot midfoot, all of these devices are associated with some disadvantages. This study aims to evaluate the outcome of the Multi-Axial Correction (MAC) monolateral external fixation system for the reconstructive surgery of midfoot Charcot neuroarthropathy. A total of 11 feet with midfoot Charcot arthropathy were treated surgically using the MAC fixation system solely or accompanied with minimal internal fixation. The mean postoperative follow-up was 29 (range = 12-44) months. The mean postoperative timing of the MAC system removal was 8.7 (range = 5-14) weeks. No pin tract infections were observed. All patients went on to successful union and correction of a rocker bottom deformity. No cases resulted in limb amputation. All patients were able to ambulate with custom diabetic shoes and insoles in 9 patients (10 feet) and commercially available shoes in 1 patient (1 foot). This study suggests that the MAC system can be an acceptable, easy option for the surgical treatment of midfoot Charcot arthropathy. LEVEL OF EVIDENCE: Therapeutic, Level IV: Case series. SN - 1938-7636 UR - https://www.unboundmedicine.com/medline/citation/26123549/Midtarsal_Reconstructive_Arthrodesis_Using_a_Multi_Axial_Correction_Fixator_in_Charcot_Midfoot_Arthropathy_ L2 - https://journals.sagepub.com/doi/10.1177/1938640015592835?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -