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An Approach to Managing Midfoot Charcot Deformities
Ashtin Doorgakant1, Mark B Davies2
1Foot and Ankle Unit, Northern General Hospital, Foot and Ankle Offices, Selby Wing, Herries Road, Sheffield S5 7AU, UK.
Foot and Ankle Clinics
|May 9, 2020
Summary
This study outlines a stepwise approach for managing complex midfoot deformities in Charcot neuroarthropathy, emphasizing multidisciplinary care and surgical timing based on disease stage. It provides a framework for future research in treating this challenging condition.
Area of Science:
- Orthopedics
- Diabetology
- Podiatry
Background:
- Charcot neuroarthropathy commonly causes complex midfoot deformities.
- Effective management requires a comprehensive, multidisciplinary strategy.
Purpose of the Study:
- To present a stepwise management approach for midfoot Charcot neuroarthropathy.
- To guide surgical timing and research priorities.
Main Methods:
- Stepwise management: prevention, early detection, nonoperative, and operative care.
- Multidisciplinary team approach involving various specialists.
- Evaluation of surgical timing based on Eichenholtz stage.
- Review of traditional and novel surgical techniques.
Main Results:
- A structured approach integrating conservative and surgical interventions is proposed.
- Early surgical intervention may be beneficial depending on the disease stage.
- Limited surgical interventions show potential efficacy.
Conclusions:
- A multidisciplinary, stepwise approach is crucial for managing Charcot neuroarthropathy.
- Further research should focus on optimizing surgical timing and techniques.
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