Plate Fixation in Midfoot and Ankle Charcot Neuroarthropathy.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Discloser Relative to this article, there are no disclosures. 8. Clin Podiatr Med Surg. 2013 Apr;30(2):257-63. doi: 10.1016/j.cpm.2013.01.002. Diabetic Lisfranc fracture-dislocations and Charcot neuroarthropathy. Levitt BA(1), Stapleton JJ, Zgonis T. Author information: (1)Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA. The goal with Lisfranc fracture-dislocations is to regain joint congruity and reestablish midfoot stability to avoid debilitating posttraumatic arthrosis and chronic pain in the sensate patient. In the diabetic population, dense peripheral neuropathy and/or vascular disease are equally important and may alter the surgical approach to traumatic tarsometatarsal injuries. The initial diagnosis in the diabetic population may be delayed due to subtle radiographic findings and/or patient unawareness of trauma in the insensate foot. Failure to initiate treatment in the early stages of acute diabetic neuropathic Lisfranc injuries can predispose the patient to midfoot instability, potential ulceration, infection, and Charcot neuroarthropathy. Copyright © 2013 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2013.01.002