Reconstruction of the diabetic Charcot foot incorporating bone grafts.
Literature is sparse concerning the topic of Charcot foot reconstruction incorporating various types of bone grafts and internal fixation. No concrete, methodical approach has yet been established to dictate under what conditions bone grafting would be applicable in Charcot joints. It is the intent of the authors to convey, through limited experience, an approach to the surgical reconstruction of the diabetic Charcot foot using bone grafting and internal fixation as it applies to the Sanders and Mrdjenovich patterns 2 and 3. Three case studies are presented with emphasis on the biomechanical examination, computerized tomography, radiographic appearance, patterns of bone and joint destruction, and types of bone grafts using internal fixation.
Department of Podiatric Medicine and Surgery, VA Medical Center, Miami, Florida, USA.
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Deresh
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Cohen
D016025:Bone Transplantation; D003131:Combined Modality Therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D017719:Diabetic Foot / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005531:Foot Deformities, Acquired / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D013640:Tarsal Joints / Q000601:surgery*