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. 13. Clin Podiatr Med Surg. 2025 Oct;42(4):687-701. doi: 10.1016/j.cpm.2025.06.008. Epub 2025 Jul 25. Charcot Reconstruction: Internal Fixation. Marcoux JT(1), Peralta S(2). Author information: (1)Beth Israel Deaconess Medical Center, Division of Podiatric Surgery, Harvard Medical School, 185 Pilgrim Road, Span 3, Boston, MA 02215, USA. Electronic address: jmarcou2@bidmc.harvard.edu. (2)Beth Israel Deaconess Medical Center, Division of Podiatric Surgery, Harvard Medical School, 185 Pilgrim Road, Span 3, Boston, MA 02215, USA. Charcot neuroarthropathy is a condition characterized by progressive joint dislocation and bone fragmentation, which if not managed early with off-loading, often results in the destruction of the normal foot architecture, an unstable foot deformity and development of neuropathic ulceration. It is most frequently seen in patients with diabetes mellitus; however the clinician should also consider this diagnosis in patients who develop peripheral neuropathy due to chemotherapy, alcoholism, and infectious diseases such as syphilis, leprosy, and human immunodeficiency virus. This article aims to demonstrate the core principles of Charcot reconstruction using internal fixation and super construct techniques. Copyright © 2025 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2025.06.008