Functional pedal construct achieved by combined operative treatment in peritalar complex Charcot arthropathy

El-Mowafi, Hani; El-Hawary, Ahmed; Kandil, Yasser

doi:10.1016/j.fas.2017.02.011

Cited by 1 publication

(1 citation statement)

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“…Peritalar Charcot was fused with tibiocalcaneal nail and supplemented with circular external fixator to help achieving compression and prevent weight bearing by the patient [12]. When talonavicular joints were affected, the fusion surgery was extended to the midfoot through a contoured 3.5 reconstruction plate [13]. Perinavicular Charcot were fused with plates or long screws for the medial column.…”

Section: Type IImentioning

confidence: 99%

Charcot Arthropathy of Foot and Ankle: Radiographic and Clinical Patterns with Related Outcomes

El-Mowafi

Elghazy

Kandil

et al. 2021

International Orthopaedics (SICOT)

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Purpose Our aim is to retrospectively review and evaluate the patterns of affection of Charcot arthropathy of foot and ankle. Methods Two hundred twenty-eight patients (235 feet) with post-acute Charcot were reviewed and classified anatomically through plain radiographs into type I and type II based on single or multiple regions affected, respectively. Type I included ankle, Lisfranc (tarsometatarsal), naviculocuneiform, forefoot, and hindfoot which includes one of the following: talonavicular joint, calcaneocuboid joint, or calcaneus. Type II included peritalar, perinavicular, mid-tarsal Charcot, or any other combination. Both types were further classified into four stages (A, stable with no deformity; B, stable with deformity; C, unstable; and D, deformity/instability with associated mechanical ulcers). ResultsThe most common type was type IIC (27.2%) followed by type IID (18.3%), while types IA and IIA represented the least common types (3.4% and 3.8%, respectively). Types IA and IIA were managed conservatively. All patients in types IC, ID, IIB, IIC, and IID and the majority of type IB received fusion surgery to achieve stability and correction of deformity. Type II D had the highest complication rate (30%). Five patients ended up with amputation, and all were stage IID. Conclusion Affection of single region has better prognosis than affection of two or more regions. Stage A has the best prognosis and can be managed conservatively provided good diabetes control. Surgery is indicated in all cases of types IC, ID, IIB, IIC, and IID to achieve stability and correction of deformity and prevent complications. Mechanical ulcer (stage D) carries the worst prognosis and highest complication rate.

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Section: Type IImentioning

confidence: 99%