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Related Experiment Video

Updated: May 9, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Gradual Correction of Midfoot Charcot Neuroarthropathy Using Multiplanar Circular External Fixation.

Patricio Fuentes1, Juan Pedro Bergeret2, Gonzalo F Bastias1

  • 1Department of Orthopedic Surgery, Foot and Ankle Unit, Hospital del Trabajador, 185 Ramon Carnicer Avenue, Santiago, Chile; Foot and Ankle Service, Department of Orthopedic Surgery, Clinica Las Condes, Santiago, Chile.

Foot and Ankle Clinics
|May 7, 2026
PubMed
Summary

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This review details minimally invasive correction for Charcot neuroarthropathy (CNA) midfoot deformities. It presents an algorithm using circular external fixation and a two-step procedure for effective 3D correction.

Area of Science:

  • Orthopedic surgery
  • Diabetic foot complications
  • Podiatric medicine

Background:

  • Charcot neuroarthropathy (CNA) frequently affects the midfoot, presenting diverse clinical manifestations.
  • Deformities vary based on joint involvement and bone destruction severity.

Purpose of the Study:

  • To outline current indications for minimally invasive correction of midfoot CNA deformities.
  • To propose an algorithm for managing these deformities in active and inactive stages.

Main Methods:

  • Utilizes multiplanar circular external fixation for minimally invasive correction.
  • Employs a two-step procedure involving arthrodesis with intramedullary beaming.
  • Focuses on maintaining three-dimensional correction.
Keywords:
Charcot neuroarthropathyDiabetesExternal fixationHexapodMidfootMinimally invasiveOsteomyelitisPercutaneous

Related Experiment Videos

Last Updated: May 9, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Main Results:

  • Provides a structured approach to managing CNA midfoot deformities.
  • Demonstrates a technique for achieving and sustaining 3D correction.
  • Addresses both active and inactive phases of the condition.

Conclusions:

  • Minimally invasive correction with circular external fixation offers a viable treatment option for midfoot CNA.
  • A staged approach combining external fixation and intramedullary beaming ensures stable, long-term correction.
  • This strategy is applicable across different stages of Charcot neuroarthropathy.