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Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy.
Clin Podiatr Med Surg. 2018 Oct; 35(4):497-507.CP

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.

Authors+Show Affiliations

Podiatric Medical Education, Our Lady of Lourdes Memorial Hospital, 169 Riverside Dr, Binghamton, NY 13905, USA; Podiatric Medical Education, Geisinger-Community Medical Center, 1800 Mulberry St, Scranton, PA 18510, USA. Electronic address: glaporta@msn.com.Podiatric Medical Education, Our Lady of Lourdes Memorial Hospital, 169 Riverside Dr, Binghamton, NY 13905, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30223956

Citation

LaPorta, Guido A., and Alison D'Andelet. "Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy." Clinics in Podiatric Medicine and Surgery, vol. 35, no. 4, 2018, pp. 497-507.
LaPorta GA, D'Andelet A. Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy. Clin Podiatr Med Surg. 2018;35(4):497-507.
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
LaPorta GA, D'Andelet A. Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy. Clin Podiatr Med Surg. 2018;35(4):497-507. PubMed PMID: 30223956.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy. AU - LaPorta,Guido A, AU - D'Andelet,Alison, Y1 - 2018/08/14/ PY - 2018/9/19/entrez PY - 2018/9/19/pubmed PY - 2019/6/19/medline KW - Charcot neuroarthropathy KW - External fixation KW - Hexapod KW - LAB technique KW - Osteomyelitis KW - Superconstructs SP - 497 EP - 507 JF - Clinics in podiatric medicine and surgery JO - Clin Podiatr Med Surg VL - 35 IS - 4 N2 - 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. SN - 1558-2302 UR - https://www.unboundmedicine.com/medline/citation/30223956/Lengthen_Alignment_and_Beam_Technique_for_Midfoot_Charcot_Neuroarthropathy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891-8422(18)30046-6 DB - PRIME DP - Unbound Medicine ER -