Charcot foot: a surgical algorithm.
The historic treatment of Charcot foot has entailed non-weight-bearing immobilization during the acute active phase, followed by longitudinal management with accommodative bracing. This treatment plan yields poor outcomes, even in cases classified as successful. An appreciation of poor outcomes convinced experts to attempt correction of the resultant deformities. Early attempts at surgical correction of the acquired deformities in patients with medical comorbidities were complicated by infection, wound failure, and mechanical loss of correction. New surgical techniques have been designed to obtain and maintain correction and minimize the risks for complications and poor outcomes in this complex patient population.
Department of Orthopaedic Surgery, Loyola University Health System, Maywood, IL, USA.
Michael S
MS
Pinzur
Vincent James
VJ
Sammarco
Dane K
DK
Wukich
D000125:Achilles Tendon; D000465:Algorithms; D001174:Arthrodesis / Q000379:methods; D001177:Arthropathy, Neurogenic / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy; D001860:Bone Plates; D001915:Braces; D003286:Contracture / Q000150:complications; D048909:Diabetes Complications / Q000601:surgery; D004867:Equipment Design; D016267:External Fixators; D005528:Foot / Q000000981:diagnostic imaging; D006801:Humans; D007103:Immobilization; D011182:Postoperative Care; D011859:Radiography; D016896:Treatment Outcome; D016474:Weight-Bearing