A Systematic Review of Angular Deformities in Charcot Neuroarthropathy

Cates, Nicole K.; Tenley, Jonathan; Cook, Helene R.; Kim, Paul J.

doi:10.1053/j.jfas.2020.10.003

Cited by 4 publications

(6 citation statements)

References 30 publications

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“…However, our results should be interpreted with caution because of some limitations; the current study only analyzed the three most-studied radiographic measurements [12]; further research should confirm the benefit of other radiographic analyses for preventive and operative therapies. Additionally, we only had a small sample size, although past studies had commonly small sample sizes due to the low prevalence of CN disease [14,16,17].…”

Section: Discussionmentioning

confidence: 82%

“…The three most reliable radiographic measures to assess for foot ulceration were performed by digital radiographs in the lateral view, including the lateral talar-first metatarsal angle, calcaneal pitch, and cuboid height [11,12]. All radiographic measurements were taken from the weight-bearing position at baseline [16].…”

Section: Radiographic Measurementmentioning

confidence: 99%

“…The pathophysiology of CN has been previously described as medial arch collapse (medial pattern involvement) followed by further lateral arch collapse (lateral pattern involvement) [11]. In the affected Charcot foot, authors have suggested that patients with medial and lateral CN patterns are presented differently [12]. Sagittal deformities are more prone to develop an ulcer occurrence than transverse plane deformities [11].…”

Section: Introductionmentioning

confidence: 99%

“…Previous authors [15,16] have found that the most reproducible angles to assess CN severity are talar first metatarsal, calcaneal pitch, and cuboid height. A previous systematic review [12] has shown that a direct relation exists between radiographic measurements and ulcer occurrence; despite this, results are heterogeneous between different authors as authors did not separately analyze varus and valgus deformities [11,17].…”

Section: Introductionmentioning

confidence: 99%

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Predictive Radiographic Values for Foot Ulceration in Persons with Charcot Foot Divided by Lateral or Medial Midfoot Deformity

López‐Moral¹,

Molines-Barroso²,

Sanz‐Corbalán³

et al. 2022

JCM

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Background: To identify differences in radiographic outcomes in weight-bearing lateral X-ray to predict the probability of ulceration in patients with midfoot Charcot neuroarthropathy (CN) differentiated by lateral and medial column deformities. Methods: Thirty-five patients who suffered from CN midfoot deformity participated in this 1 year prospective study in a specialized diabetic foot unit. Lateral talar-first metatarsal angle, calcaneal pitch, and cuboid height were performed by digital radiographs in the weight-bearing lateral view. Patients were followed up for 1 year or until an ulcer ulceration event occurred in the midfoot region. Results: ROC analyses showed that all patients with medial pattern deformity that developed a midfoot ulcer had a lateral talar-first metatarsal angle greater (negative) than −27.5 degrees (°). All patients with lateral pattern deformity that developed a midfoot ulcer had a calcaneal pitch greater (more negative) than −5° and a cuboid height greater (more negative) than −1.5°. Conclusions: Lateral talar-first metatarsal angle was the greatest predictor of midfoot ulceration, with greater than −27.5° measurement correlating with ulceration occurrence in patients with medial deformity. Calcaneal pitch and cuboid height were the greatest predictors of midfoot ulceration with greater than −5 and −1.5°, respectively in patients with CN lateral deformity.

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Section: Discussionmentioning

confidence: 82%

Section: Radiographic Measurementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictive Radiographic Values for Foot Ulceration in Persons with Charcot Foot Divided by Lateral or Medial Midfoot Deformity

López‐Moral¹,

Molines-Barroso²,

Sanz‐Corbalán³

et al. 2022

JCM

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“…Titanium (Ti) is a metal prevalent in orthopaedic implants due to its low weight, corrosion resistance, and ability to become tightly integrated into the bone. 1,2 Ti also has an elastic modulus comparable to bone which gives it the potential for stress shielding. 2 Hypersensitivity reactions to titanium implants are rare and often overlooked when treating post-operative wounds.…”

mentioning

confidence: 99%