title: Surgical Treatment Options for the Diabetic Charcot Midfoot Deformity.
abstract: Management of diabetic Charcot midfoot deformity is one of the most demanding aspects of foot and ankle surgery. Its treatment should aim at reducing the rate of complications, including foot and ankle amputations or limb loss. Attempting reconstruction at Eichenholtz stages I and II carries the risk of infection and loss of fixation. It is advisable to limit surgical reconstruction to Eichenholtz stage III in the absence of any evidence of infection or vascular insufficiency. Achilles lengthening or gastrocnemius-soleus release is an essential initial step in surgery. Addressing the medial foot column first is a key to a successful reconstruction.
authors.affiliation: Orthopaedic Department, College of Medicine, Taibah University, PO Box 30001, Prince Naif Road, Almadinah Almunawwarah, Kingdom of Saudi Arabia; Orthopaedic Department, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Alrashidi
authors.affiliation: Rheumatology Department, Osteoarthritis Research Center Basel, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland.
authors.forename: Thomas
authors.initials: T
authors.lastname: Hügle
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Kantonsspital Winterthur, Brauerstrasse 15, Winterthur 8401, Switzerland.
authors.forename: Martin
authors.initials: M
authors.lastname: Wiewiorski
authors.affiliation: Universidad de La Laguna, University Hospital of Canary Islands, Calle El Pilar 50 4 piso, Tenerife 38002, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Herrera-Perez
authors.affiliation: Orthopaedic Department, Osteoarthritis Research Center Basel, Schmerzklinik Basel, Swiss Medical Network, Hirschgässlein 11-15, Basel 4010, Switzerland. Electronic address: vvalderrabano@gsmn.ch.
authors.forename: Victor
authors.initials: V
authors.lastname: Valderrabano
mesh_terms: D001177:Arthropathy, Neurogenic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017719:Diabetic Foot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans
keywords: Cannulated screws; Charcot arthropathy; Charcot deformity; Chopart joint; Diabetic Charcot foot; Diabetic foot; Eichenholtz; Midfoot reconstruction