Treatment of complex Charcot foot by single stage surgery with static circular fixation. Case series report

ConclusionsThe objectives of the study in Charcot foot are to avoid amputation and achieve a functional plantigrade foot, without ulcer.Single-stage surgery with static circular external fixation is reproducible in our country, and also a valid technique for those cases in which internal fixation may not be the best option.ResumenObjetivoPresentamos los resultados de una serie de casos de pie de Charcot tratados mediante cirugía en un solo tiempo con fijador circular estático.Material y métodoRevisión retrospectiva de 10 casos tratados con fijación externa circular estática desde 2016, con los siguientes criterios de inclusión: 1) deformidad asociada a alguno de los siguientes signos: úlcera cutánea, osteomielitis o inestabilidad articular; 2) neuropatía periférica, y 3) fallo del tratamiento ortopédico previo. Criterios de exclusión: 1) obstrucción vascular periférica sin revascularizar; 2) incapacidad para cumplir el tratamiento; 3) pacientes no deambulantes, y 4) contraindicación médica para la cirugía. De los 10 pacientes, 7 hombres y 3 mujeres, 6 tenían afectación del pie izquierdo y 4 del derecho. La edad promedio de nuestros pacientes era de 58 años (rango 39–71). Valoramos además estadio de Eichenholtz, clasificación de Brodsky, presencia de úlceras cutáneas, osteomielitis e inestabilidad. ...
Source: Revista Espanola de Cirugia Ortopedica y Traumatologia - Category: Orthopaedics Source Type: research

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Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
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