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Related Experiment Video

Updated: Apr 19, 2026

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[Complex reconstruction with internal locking plate fixation for Charcot arthropathy].

F Ramadani1, H Härägus, P Radu

  • 1Abteilung für Unfallchirurgie, Klinikum Wels Grieskirchen, Grieskirchnerstraße 42, 4600, Wels, Österreich, Florin.ramadani@liwest.at.

Der Orthopade
|December 19, 2014
PubMed
Summary

Locking plates offer a stable surgical option for Charcot foot reconstruction, showing improved biomechanics and outcomes compared to screw fixation. This method is preferred for its stability, even with pseudoarthrosis.

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science

Context:

  • Charcot foot reconstruction presents challenges in implant selection.
  • No international consensus exists on optimal implants for osteosynthesis and repositioning.

Purpose:

  • To analyze bone fusion, complications, pseudoarthrosis, and patient satisfaction using locking plates for Charcot foot.
  • To compare locking plates with screw fixation for internal fixation.

Summary:

  • Retrospective analysis of 63 Charcot feet (Sanders type II/III) treated with locking plates (2004-2014, mean follow-up 2.4 years).
  • 50% achieved bony fusion; 26% had functional pseudoarthrosis with intact implants; 22% showed non-healing with broken implants.
  • Locking plates demonstrated superior biomechanics over screw fixation and are preferred over external fixation due to stability.

Impact:

  • Internal fixation with locking plates is a viable and stable method for Charcot foot reconstruction.
  • Findings suggest locking plates offer advantages in stability and potentially patient outcomes compared to other fixation methods.