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Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity.
Clin Podiatr Med Surg. 2017 Jan; 34(1):43-51.CP

Abstract

Management of diabetic Charcot midfoot deformity is one of the most demanding aspects of foot and ankle surgery. Its treatment should aim at reducing the rate of complications, including foot and ankle amputations or limb loss. Attempting reconstruction at Eichenholtz stages I and II carries the risk of infection and loss of fixation. It is advisable to limit surgical reconstruction to Eichenholtz stage III in the absence of any evidence of infection or vascular insufficiency. Achilles lengthening or gastrocnemius-soleus release is an essential initial step in surgery. Addressing the medial foot column first is a key to a successful reconstruction.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Alrashidi Y
Orthopaedic Department, College of Medicine, Taibah University, PO Box 30001, Prince Naif Road, Almadinah Almunawwarah, Kingdom of Saudi Arabia; Orthopaedic Department, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland.
Hügle T
Rheumatology Department, Osteoarthritis Research Center Basel, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland.
Wiewiorski M
Department of Orthopaedic Surgery and Traumatology, Kantonsspital Winterthur, Brauerstrasse 15, Winterthur 8401, Switzerland.
Herrera-Perez M
Universidad de La Laguna, University Hospital of Canary Islands, Calle El Pilar 50 4 piso, Tenerife 38002, Spain.
Valderrabano V
Orthopaedic Department, Osteoarthritis Research Center Basel, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland. Electronic address: vvalderrabano@gsmn.ch.

MeSH

Arthropathy, NeurogenicDiabetic FootFoot Deformities, AcquiredHumans

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27865314

Citation

Alrashidi, Yousef, et al. "Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity." Clinics in Podiatric Medicine and Surgery, vol. 34, no. 1, 2017, pp. 43-51.
Alrashidi Y, Hügle T, Wiewiorski M, et al. Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity. Clin Podiatr Med Surg. 2017;34(1):43-51.
Alrashidi, Y., Hügle, T., Wiewiorski, M., Herrera-Perez, M., & Valderrabano, V. (2017). Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity. Clinics in Podiatric Medicine and Surgery, 34(1), 43-51. https://doi.org/10.1016/j.cpm.2016.07.006
Alrashidi Y, et al. Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity. Clin Podiatr Med Surg. 2017;34(1):43-51. PubMed PMID: 27865314.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity. AU - Alrashidi,Yousef, AU - Hügle,Thomas, AU - Wiewiorski,Martin, AU - Herrera-Perez,Mario, AU - Valderrabano,Victor, Y1 - 2016/09/06/ PY - 2016/11/21/entrez PY - 2016/11/21/pubmed PY - 2017/6/1/medline KW - Cannulated screws KW - Charcot arthropathy KW - Charcot deformity KW - Chopart joint KW - Diabetic Charcot foot KW - Diabetic foot KW - Eichenholtz KW - Midfoot reconstruction SP - 43 EP - 51 JF - Clinics in podiatric medicine and surgery JO - Clin Podiatr Med Surg VL - 34 IS - 1 N2 - Management of diabetic Charcot midfoot deformity is one of the most demanding aspects of foot and ankle surgery. Its treatment should aim at reducing the rate of complications, including foot and ankle amputations or limb loss. Attempting reconstruction at Eichenholtz stages I and II carries the risk of infection and loss of fixation. It is advisable to limit surgical reconstruction to Eichenholtz stage III in the absence of any evidence of infection or vascular insufficiency. Achilles lengthening or gastrocnemius-soleus release is an essential initial step in surgery. Addressing the medial foot column first is a key to a successful reconstruction. SN - 1558-2302 UR - https://www.unboundmedicine.com/medline/citation/27865314/Surgical_Treatment_Options_for_the_Diabetic_Charcot_Midfoot_Deformity_ DB - PRIME DP - Unbound Medicine ER -