Reconstructive Charcot surgery

NewsBot · Oct 25, 2023

Functional evaluation and quality of life in the follow-up of patients with Charcot arthropathy treated by ankle arthrodesis with a locked retrograde nail
E G López-Gavito et al
Acta Ortop Mex. 2023 Jan-Feb;37(1):25-29.

Introduction: Charcot's arthropathy is a disabling non-infectious, progressive condition characterized by bony and articular destruction in patients with sensory neuropathy. In advanced cases with deformities and ankle instability, it requires a more invasive treatment as an ankle fusion with a retrograde locked intramedullary nail. It is unknown if, in these patients, the functional results of AOFAS (American Orthopaedic Foot and Ankle Society) correlate with the quality of life ones from the EuroQol-5D test and the possible postoperative complications.

Material and methods: the design is experimental, longitudinal prospective with ambispective data analysis (retrospective and prospective) to evaluate the functional results and life quality with a year of following patients with Charcot's arthropathy diagnosis treated with a retrograde locked nail from January 1, 2010, to November 1, 2018.

Results: this study resulted in complete consolidation from nine out of 11 cases, with a success rate of 81.2%, and only two cases (18.2%) developed nonunion. AOFAS and EuroQol-5D tests correlate positively in agreement with the Pearson correlation.

Conclusions: AOFAS and EuroQol-5D correlate positively, having a 45 and 63% of acceptable and satisfactory results, respectively, for both tests.
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NewsBot · Jan 11, 2024

Intraoperative Radiation Exposure During Midfoot Charcot Reconstruction
Dominick J Casciato et al
J Foot Ankle Surg. 2024 Jan 6:S1067-2516(24)00005-X

While radiation exposure in foot and ankle surgery varies by procedure, attempts to minimize this hazard remain imperative to protect patients and surgeons. Hindfoot deformity correction employs significant radiation through intraoperative fluoroscopy, however, a paucity of data exists concerning Charcot reconstruction. This investigation describes and compares radiation exposure across varying Charcot pathology and fixation constructs. A retrospective chart review of patients undergoing midfoot Charcot reconstruction under large C-arm assistance from 2016-2022 was conducted. Demographics, pathology-specific, and intervention-specific variables were recorded and compared among midfoot reconstructions. The threshold for statistical significance was set at p ≤ 0.05. Among 40 patients, the average midfoot radiation exposure and fluoroscopy times were 9.5±5.39 mGy and 256.64±130.67 seconds, respectively. There existed no statistically significant difference in radiation exposure (p=0.32) or fluoroscopy times (p=0.71) among the different midfoot constructs. There existed a statistically significant relationship between radiation exposure with weight (p=0.01) and body mass index (p=0.03) and number of stages (p=0.04). Similarly, a relationship existed between fluoroscopy time with weight (p=0.02), body mass index (p=0.03), and number of beams/screws (p=0.003). Due to the complexity of Charcot reconstruction coupled with multiple robust types of fixation, surgeons must remain cognizant of fluoroscopy usage. Moreover, providers who routinely perform Charcot reconstruction should wear personal protective equipment to protect against radiation.
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NewsBot · Jan 18, 2024

Surgical management of Charcot foot - The advancements over the past decade
Omeair Khan et al
J Clin Orthop Trauma. 2023 Dec 14

Charcot neuroarthropathy is a progressive, destructive condition leading to deformity, dysfunction and, in some cases, amputation. Much evolution has occurred over the last couple of decades in the management of Charcot foot with a focus on developing limb salvage and reconstructive techniques. The aim has been to achieve a stable plantigrade foot that remains pain and ulcer-free whilst reducing amputation rates. Soft tissue and bony reconstructions have been explored, and various modalities of fixation, including internal, external, and combined techniques, have been described and their outcomes published. Currently, no strong evidence exists which supports a particular modality of treatment, nor have there been any randomised studies to this effect, but the results are nevertheless promising. Recent studies have reported on minimally invasive techniques, the use of super construct fixation, computer-navigated deformity correction, the efficacy of techniques such as subtalar arthrodesis or tendon balancing procedures and staged deformity corrections. There is a need for more controlled and comparative studies with consistent reporting of intended outcomes to create a stronger portfolio of evidence on the surgical management of Charcot foot.
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Reconstructive Charcot surgery

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Reconstructive Charcot surgery

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

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USA trained podiatrist Rearfoot Reconstructive Surgery

USA trained podiatrist Rearfoot Reconstructive Surgery

USA trained podiatrist Rearfoot Reconstructive Surgery

USA trained podiatrist Rearfoot Reconstructive Surgery

Clubfoot Reconstructive Surgery

pain after reconstructive surgery

Club Foot Reconstructive Surgery

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