Charcot foot and ankle reconstruction: current thinking and surgical approaches.
The surgical repair of unstable diabetic neuropathic osteoarthropathy of the midfoot or the hindfoot and ankle remains a challenge with little guidance available in the medical literature. The authors present their proposed surgical intervention techniques regarding the use of external fixation with or without combined internal fixation. A step-by-step guide through the authors' preferred technique for these difficult limb salvage cases is presented in detail.
Zgonis
Thomas
T
Department of Orthopaedics, Podiatry Division, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7776, San Antonio, TX 78229, USA. zgonis@uthscsa.edu
Roukis
Thomas S
TS
Lamm
Bradley M
BM
D000842:Ankle / Q000601:surgery*; D001177:Arthropathy, Neurogenic / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery*; D016267:External Fixators; D005534:Foot Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods