Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy

Charcot neuroarthropathy is a disabling pathology in the foot and ankle. Midfoot Charcot is most common and results in progressive deformity. We describe a 2-step approach to surgical reconstruction, referred to as the lengthen, alignment, and beam technique. There is an initial surgery involving ac...

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Bibliographic Details
Published in:	Clinics in podiatric medicine and surgery Vol. 35; no. 4; pp. 497 - 507
Main Authors:	LaPorta, Guido A., DPM, MS, D’Andelet, Alison, DPM, MHA
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-10-2018
Subjects:	Arthropathy, Neurogenic - surgery Bone Lengthening Charcot neuroarthropathy External fixation Foot Fracture Fixation Hexapod Humans LAB technique Osteomyelitis Reconstructive Surgical Procedures - methods Superconstructs Surgery Tenotomy Osteomyelitis External fixation LAB technique Charcot neuroarthropathy Hexapod Superconstructs
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Summary:	Charcot neuroarthropathy is a disabling pathology in the foot and ankle. Midfoot Charcot is most common and results in progressive deformity. We describe a 2-step approach to surgical reconstruction, referred to as the lengthen, alignment, and beam technique. There is an initial surgery involving acute equinus correction through Achilles tendon lengthening and gradual correction with hexapod external fixation to align the deformity, followed by minimally invasive medial and lateral column beaming. This surgical protocol allows for adequate reduction of deformity. The second stage allows for rigid intramedullary fixation extending beyond the pathologic joints via a minimally invasive technique.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0891-8422 1558-2302
DOI:	10.1016/j.cpm.2018.05.008