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James C. WangPrivate practice, Santa Monica, CA. Submitted while Director of Podiatric Surgery, Encino-Tarzana Regional Medical Center, Encino, CA. Mailing address:2428 Santa Monica Blvd, Ste 100, Santa Monica, CA 90404.
External fixation was used to reduce or arrest progressive degeneration in 28 patients with Charcot’s foot dislocations. Adjunctive procedures included tendo Achilles lengthening and application of an external bone stimulator. Advantages of using external fixation are that surgeries are usually performed percutaneously and that most patients are weightbearing in 10 to 14 days. There was no incidence of pin tract infection or further foot collapse, with the longest follow-up period being 24 months. The authors propose that use of external fixation with bone stimulation may be an effective alternative method of treating the Charcot foot. (J Am Podiatr Med Assoc 92(8): 429-436, 2002)