Surgical Management of the Unstable Diabetic Charcot Deformity Using the Taylor Spatial Frame

Operative Techniques in Orthopaedics

Volumn 16, Issue 1, 2006, Pages 10-17

  Zgonis, Thomas ^a   Roukis, Thomas S ^b   Polyzois, Vasilios ^c   Wukich, Dane K ^d  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^b MADIGAN ARMY MEDICAL CENTER   (United States)

^c UNIVERSITY OF ATHENS MEDICAL SCHOOL   (Greece)

^d UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Charcot fracture dislocation; diabetic Charcot neuroarthropathy; diabetic neuroarthropathy; diabetic neuropathic osteoarthropathy; external fixation; Taylor Spatial Frame

Indexed keywords

ACUTE DISEASE; ARTHRODESIS; ARTICLE; BONE GRAFT; CHRONIC DISEASE; COMPUTER ASSISTED SURGERY; DIABETIC FOOT; EXTERNAL FIXATOR; HUMAN; ILIZAROV TECHNIQUE; JOINT INSTABILITY; MINIMALLY INVASIVE SURGERY; NEUROPATHIC JOINT DISEASE; OPEN REDUCTION; OSTEOSYNTHESIS; PRIORITY JOURNAL; SURGICAL TECHNIQUE;

EID: 33646187607     PISSN: 10486666     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.oto.2006.01.004     Document Type: Article

References (51)

1. Frykberg R.G., Armstrong D.G., Giurini J., et al., American College of Foot and Ankle Surgeons. Diabetic foot disorders. A clinical practice guideline. J Foot Ankle Surg 39 suppl (2000) S1-S60
2. Eichenholtz S.N. Charcot Joints (1966), C.C. Thomas, Springfield, IL
3. Sanders L.J., and Frykberg R.G. Diabetic neuropathic osteoarthropathy. The Charcot foot. In: Frykberg R.G. (Ed). The High Risk Foot in Diabetes Mellitus (1991), Churchill Livingstone, New York 297-338
4. Larsen K., Fabrin J., and Holstein P.E. Incidence and management of ulcers in diabetic Charcot feet. J Wound Care 10 (2001) 323-328
5. Bowering C.K. Diabetic foot ulcers. Pathophysiology, assessment, and therapy. Can Fam Phys 47 (2001) 1007-1016
6. Brem H., Sheehan P., and Boulton A.J.M. Protocol for treatment of diabetic foot ulcers. Am J Surg 187 (2004) 1S-10S
7. Lesko P., and Maurer R.C. Talonavicular dislocations and midfoot arthropathy in neuropathic diabetic feet. Natural course and principles of treatment. Clin Orthop 240 (1989) 226
8. Gough A., Abraha H., Purewal T.S., et al. Measurement of markers of osteoclast and osteoblast activity in patients with acute and chronic diabetic Charcor neuroarthropathy. Diabetes Med 14 (1997) 527
9. Baumhauer JF, O'Keefe R, Schon LC, et al: Free cytokine induced osteoclastic bone resorption in Charcot arthropathy: an immunohistochemical study. Presented at the American Orthopaedic Foot and Ankle Society 20th Annual Summer Meeting, Seattle, WA, July 29-31, 2004
10. Anderson J.J., Woelffer K.E., Holtzman J.J., et al. Bisphosphonates for the treatment of Charcot neuroarthropathy. J Foot Ankle Surg 43 (2004) 285
11. Hanft J.R., Goggin J.P., Landsman A., et al. The role of combined magnetic field bone growth stimulation as an adjunct in the treatment of neuroarthropathy/Charcot joint. An expanded pilot study. J Foot Ankle Surg 37 (1998) 510-515
12. Grady J.F., O'Connor K.J., Axe T.M., et al. Use of electrostimmulation in the treatment of diabetic neuroarthropathy. J Am Podiatr Med Assoc 90 (2000) 287
13. Rubin C., Bolander M., Ryaby J.P., et al. The use of low-intensity ultrasound to accelerate the healing of fractures. J Bone Joint Surg Am 83 (2001) 259
14. Myerson M.S., Henderson M.R., Saxby T., et al. Management of midfoot diabetic neuroarthropathy. Foot Ankle Int 15 (1994) 233-241
15. Simon S.R., Tejwani S., Wilson D., et al. Arthrodesis as an early alternative to non-operative management of Charcot arthropathy of the diabetic foot. J Bone Joint Surg Am 82 (2000) 939-950
16. Brodsky J.W., and Rouse A.M. Exostectomy for symptomatic bony prominences in diabetic Charcot feet. Clin Orthop Rel Res 296 (1993) 21-26
17. Rosenblum B.I., Giurini J.M., Miller L.B., et al. Neuropathic ulcerations plantar to the lateral column in patients with Charcot foot deformity. A flexible approach to limb salvage. J Foot Ankle Surg 36 (1997) 360-363
18. Papa J., Myerson M., and Girard P. Salvage, with arthrodesis, in intractable diabetic neuropathic arthropathy of the foot and ankle. J Bone Joint Surg Am 75 (1993) 1056-1066
19. Early J.S., and Hansen S.T. Surgical reconstruction of the diabetic foot. A salvage approach for midfoot collapse. Foot Ankle Int 17 (1996) 325-330
20. Deresh G.M., and Cohen M. Reconstruction of the diabetic Charcot foot incorporating bone grafts. J Foot Ankle Surg 35 (1996) 474-488
21. Johnson JE, O'Brien TS, Hart TS: Reconstruction of the Charcot foot and ankle: An outcome study of long-term results. Presented at the Annual Meeting of the American Orthopaedic Foot and Ankle Society, Hilton Head, SC, June 30, 1996
22. Horton G.A., and Schon L. An extensile plantar exposure of the midfoot for treatment of the severe rocker bottom deformity (2001), American Association of Orthopaedic Surgeons Specialty Day, San Francisco, CA March
23. Sammarco VJ, Guiao RP, Sammarco GJ: Surgical treatment of severe Charcot midfoot collapse with transverse midtarsal arthrodesis fixed with multiple long intramedullary screws. Presented at the American Orthopaedic Foot and Ankle Society Summer Meeting, Traverse City, MI, July 13, 2002
24. Johnson J.E. Surgical reconstruction of the diabetic Charcot foot and ankle. Foot Ankle Clin 2 (1997) 37-55
25. Myerson M.S., and Edwards W.H.B. Management of neuropathic fractures in the foot and ankle. J Am Acad Orthop Surg 7 (1997) 8-18
26. Farber D.C., Juliano P.J., Cavanagh P.R., et al. Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy. Foot Ankle Int 23 (2002) 130-134
27. Wang J.C., Le A.W., and Tsukuda R.K. A new technique for Charcot's foot reconstruction. J Am Podiatr Med Assoc 92 (2002) 429-436
28. Cooper P, Shawen S, O'Reilly M, et al: Fine wire external fixation for the management of chronic ulcerations associated with Charcot arthropathy. Presented at the American Orthopaedic Foot and Ankle Society Summer Meeting, Traverse City, MI, July 13, 2002
29. Cooper P.S. Application of external fixations for management of Charcot deformities of the foot and ankle. Foot Ankle Clin N Am 7 (2002) 207-254
30. Wang J.C. Use of external fixation in the reconstruction of the Charcot foot and ankle. Clin Podiatr MedSurg 20 (2003) 97-117
31. Jolly G.P., Zgonis T., and Polyzois V. External fixation in the management of Charcot neuroarthropathy. Clin Podiatr Med Surg 20 (2003) 741-756
32. Herbst S.A. External fixation of Charcot arthropathy. Foot Ankle Clin 9 (2004) 595-609
33. Attinger C., Cooper P., and Blume P. Vascular anatomy of the foot and ankle. Operative Techniques Plast Reconstr Surg 4 (1997) 183-198
34. Attinger C., Cooper P., Blume P., et al. The safest surgical incisions and amputations applying the angiosome principles and using the Doppler to assess the arterial-arterial connections of the foot and ankle. Foot Ankle Clin 6 (2001) 745-799
35. Attinger C.E., Ducic I., Cooper P., et al. The role of intrinsic muscle flaps of the foot for bone coverage in foot and ankle defects in diabetic and nondiabetic patients. Plast Reconstr Surg 110 (2002) 1047-1054
36. Papp C.T., and Hasenohrl C. Small toe muscles for defect coverage. Plast Reconstr Surg 86 (1990) 941-945
37. Slater M., Patava J., Kingham K., et al. Involvement of platelets in stimulating osteogenic activity. J Orthop Res 13 (1995) 655-663
38. Marx R.E., Carlson E.R., Eichstaedt R.M., et al. Platelet-rich plasma. growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85 (1998) 638-646
39. Dugrillon A., Eichler H., Kern S., et al. Autologous concentrated platelet-rich plasma (cPRP) for local application in bone regeneration. Int J Oral Maxillofac Surg 31 (2002) 615-619
40. Taylor J.C. Six-axis deformity analysis and correction. In: Paley D. (Ed). Principles of Deformity Correction (2002), Springer-Verlag, Berlin 411-436
41. Rozbruch S.R., Helfet D.L., and Blyakher A. Dustraction of hypertrophic nonunion of tibia with deformity using Ilizarov/Taylor spatial frame. Arch Orthop Trauma Surg 122 (2002) 295-298
42. Schatz K.D., Nehrer S., Dorotka R., et al. 3D-navigated high energy shock wave therapy and axis correction after failed distraction treatment of congenital tibial pseudarthrosis. Orthopäde 31 (2002) 663-666
43. Feldman D.S., Shin S.S., Madan S., et al. Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor spatial frame. J Orthop Trauma 17 (2003) 549-554
44. Sluga M., Pfeiffer M., Kotz R., et al. Lower limb deformities in children. Two-stage correction using the Taylor spatial frame. J Pediatr Orthop 12 (2003) 123-128
45. Feldman D.S., Madan S.S., Koval K.J., et al. Correction of tibia vara with six-axis deformity analysis and the Taylor spatial frame. J Pediatr Orthop 23 (2003) 387-391
46. Rödl R., Leidinger B., Böhm A., et al. Correction of deformities with conventional and hexapod frames. comparison of methods. Z Orthop Ihre Grenzgeb 141 (2003) 92-98
47. Höll S., and Stoll V. Application of the Taylor spatial frame with unilateral implantation of a medial sledge prosthesis after post-traumatic dislocation of the femur. A complicated progression. Unfallchirurg 107 (2004) 433-466
48. McFadyen I, Atkins RM: The Taylor spatial frame in limb reconstruction surgery: Review of 100 cases. Presented at the British Orthopaedic Association Annual Congress, Manchester, UK, September 15, 2004
49. Eidelman M., and Chezar A. Principles of deformity correction using the Taylor Spatial Frame. Harefuah 144 (2005) 115-118
50. Fadel M., and Hosny G. The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop 29 (2005) 125-129
51. Roukis T.S., and Zgonis T. Post-operative shoe modifications for weightbearing with the Ilizarov external fixation system. J Foot Ankle Surg 43 (2004) 433-435