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Mittlmeier T, Klaue K, Haar P, et al: Should one consider primary surgical reconstruction in Charcot arthropathy of the feet?
Clin Orthop Relat Res
468: 1002, 2010.10.1007/s11999-009-0972-xhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000276606200012&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f319597899)| true
Charcot's neuroarthropathy can have devastating consequences if left untreated or misdiagnosed. With progression of the disease from the acute to the chronic phase, substantial deformity and instability may result, leading to ulceration and a nonfunctional limb. The purpose of this case report is to present a staged reconstruction for active Charcot's neuroarthropathy involving the subtalar joint with complete dislocation that resulted in limb salvage and maintenance of limb function at 1-year follow-up. Although for many patients the mainstay of treatment for early Charcot's neuroarthropathy is conservative care with off-loading, early surgical correction that includes external fixation followed by definitive arthrodesis for select patients may be warranted.
Corresponding author: Spencer Monaco, DPM, Department of Podiatry, University of Pittsburgh Medical Center Mercy, 1400 Locust St, Building B, Room 9520, Pittsburgh, PA 15219. (E-mail: firstname.lastname@example.org)