Intramedullary foot fixation for midfoot Charcot neuroarthropathy.
Midfoot Charcot collapse commonly occurs through the tarsometatarsal and/or midtarsal joints, which creates the characteristic "rocker bottom" deformity. Intramedullary metatarsal fixation spanning the tarsus into the talus and/or calcaneus is a recently developed method for addressing unstable midfoot Charcot deformity. The intramedullary foot fixation technique has various advantages when addressing midfoot Charcot deformity in the neuropathic patient. These advantages include anatomical realignment, minimally invasive fixation technique, formal multiple joint fusion, adjacent joint fixation beyond the level of Charcot collapse, rigid interosseus fixation, and preservation of foot length. The goals of the intramedullary foot fixation procedure are to create a stable, plantigrade, and ulcer-free foot, which allows the patient to ambulate with custom-molded orthotics and shoes.
International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA. blamm@lifebridgehealth.org
Bradley M
BM
Lamm
Noman A
NA
Siddiqui
Ajitha K
AK
Nair
Guido
G
LaPorta
D001177:Arthropathy, Neurogenic / Q000000981:diagnostic imaging / Q000601:surgery*; D001863:Bone Screws; D005471:Fluoroscopy; D005529:Foot Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008682:Metatarsal Bones / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D015641:Radiography, Interventional