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Ischaemic Charcot Midfoot Reconstruction Combined with Lateral Tibial Cortex Transverse Transport: Case Report.
Hussain Al Omar1, Om Lahoti1, Michael Edmonds2
1Department of Trauma and Orthopaedics, King's College Hospital, London, United Kingdom.
Strategies in Trauma and Limb Reconstruction
|September 22, 2025
Summary
This study reports a novel surgical technique for treating diabetic foot complications. Tibial cortex transverse transport successfully healed critical ischemia and restored soft tissue and bone in a complex case.
Area of Science:
- Orthopedics
- Diabetology
- Vascular Surgery
Background:
- Charcot neuroarthropathy is a severe diabetic foot complication.
- Vascular insufficiency often hinders healing in these patients.
- Traditional revascularization may fail to treat critical ischemia.
Purpose of the Study:
- To report the successful application of a modified tibial cortex transverse transport technique.
- To address critical ischemia in diabetic foot complications where conventional methods failed.
Main Methods:
- A modified tibial cortex transverse transport (TTT) technique was employed.
- The procedure aimed to correct critical ischemia and promote healing.
Main Results:
- Successful soft tissue healing was achieved.
- Complete bone healing was observed.
- The TTT technique effectively treated critical ischemia when other methods failed.
Conclusions:
- Modified tibial cortex transverse transport is a viable option for complex diabetic foot cases with critical ischemia.
- This technique offers a solution for limb salvage in challenging scenarios.
