title: Staged Reconstruction for Acute Charcot's Subtalar Joint DislocationA Case Report.
abstract: Charcot's neuroarthropathy can have devastating consequences if left untreated or misdiagnosed. With progression of the disease from the acute to the chronic phase, substantial deformity and instability may result, leading to ulceration and a nonfunctional limb. The purpose of this case report is to present a staged reconstruction for active Charcot's neuroarthropathy involving the subtalar joint with complete dislocation that resulted in limb salvage and maintenance of limb function at 1-year follow-up. Although for many patients the mainstay of treatment for early Charcot's neuroarthropathy is conservative care with off-loading, early surgical correction that includes external fixation followed by definitive arthrodesis for select patients may be warranted.
authors.forename: Spencer
authors.initials: S
authors.lastname: Monaco
authors.forename: Patrick
authors.initials: P
authors.lastname: Burns
authors.forename: Alissa
authors.initials: A
authors.lastname: Toth
mesh_terms: D001174:Arthrodesis / Q000379:methods; D001177:Arthropathy, Neurogenic / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D003131:Combined Modality Therapy; D018450:Disease Progression; D016267:External Fixators; D005500:Follow-Up Studies; D000072039:Fracture Dislocation / Q000000981:diagnostic imaging / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D013380:Subtalar Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome