Journal of Foot and Ankle Surgery
Volume 48, Issue 1 , Pages 30-38 , January 2009

A Retrospective Analysis of 50 Consecutive Charcot Diabetic Salvage Reconstructions

  • William P. Grant, DPM, FACFAS

      Affiliations

    • Diplomate of American Board of Podiatric Surgery, Tidewater Foot and Ankle Educational Research Foundation for Diabetic Limb Salvage Fellowship Director, Tidewater Foot and Ankle Center, Virginia Beach, VA
    • ,
  • Silvia E. Garcia-Lavin, DPM

      Affiliations

    • Fellow in Diabetic Limb Salvage, Tidewater Foot and Ankle Education Research Foundation Fellowship, Virginia Beach, VA
    • Corresponding Author InformationAddress correspondence to: Silvia E. Garcia-Lavin, DPM, Tidewater Foot and Ankle Center Fellowship, 762 Independence Boulevard, Suite 771, Virginia Beach, VA 23455
    • ,
  • Roy T. Sabo, PhD

      Affiliations

    • Assistant Professor, Department of Biostatistics, Virginia Commonwealth University, Richmond, VA
    • ,
  • Harry S. Tam, DPM

      Affiliations

    • Fellow in Diabetic Limb Salvage, Tidewater Foot and Ankle Education Research Foundation Fellowship, Virginia Beach, VA
    • ,
  • Erin Jerlin, DPM

      Affiliations

    • Fellow in Diabetic Limb Salvage, Virginia Beach, VA.; Private Practice, Virginia Beach, VA

References 

  1. Centers for Disease Control and Prevention. National Diabetes Fact Sheet United States, 2005. http://www.dcd.gov/diabetes/pubs/ndfs_2005.pdfAccessed June 22, 2007
  2. American Diabetes Association. Total Prevalence of Diabetes & Pre-diabetes. 25 April 2007. http://www.diabetes.org/diabetes-statistics/prevalence.jspAccessed June 22, 2007
  3. Sommer TC, Lee TH. Charcot foot: the diagnostic dilemma. Am Fam Physician. 2001;64:1591–1598
  4. Sammarco GJ, Conti SF. Surgical treatment of the neuroarthropathic foot deformity. Foot Ankle Int. 1998;19:102–109
  5. Rajbhandari SM, Jenkins RC, Davies C, Tesfaye S. Charcot neuropathy in diabetes mellitus. Diabetologia. 2002;45:1085–1096
  6. Papa J, Myerson M, Girard P. Salvage with arthrodesis in intractable diabetic neuropathic arthropathy of the foot and ankle. J Bone Joint Surg Am. 1993;75:1056–1066
  7. Sticha RS, Frascone ST, Wertheimer SJ. Major arthrodesis in patients with neuropathic arthropathy. J Foot Ankle Surg. 1996;35:560–566
  8. Reinherz RP, Cheleuitte ER, Fleischi JG, Hill M. Identification and treatment of the diabetic neuropathic foot. J Foot Ankle Surg. 1995;34:74–78
  9. Early JS, Hansen ST. Surgical reconstruction of the diabetic foot: a salvage approach for midfoot collapse. Foot Ankle Int. 1996;17:325–330
  10. Grant WP. Biomechanics of the Charcot foot collapse and roding the medial column of the foot as a beam to salvage the Charcot foot. American College of Foot and Ankle Surgeons Scientific Seminar, February 5–8, 1997, Orlando, FL.
  11. Buckwalter JA, Einhorn TA, Bolander ME, Cruess RL. Healing of musculoskeletal tissues. In:  Rockwood CA,  Bucholz RW,  Green DP,  Heckman JD editor. Fractures in Adults. ed 4. Philadelphia: Lippincott-Raven; 1996;p. 261
  12. Trippel SB. Growth factors as therapeutic agents. Instr Course Lect. 1997;46:473–476
  13. Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Heamost. 2004;91:4–15
  14. Froum SJ, Wallace SS, Tarnow DP, Cho SC. Effect of platelet-rich plasma on bone growth and osseointegration in human maxillary sinus grafts: three bilateral case reports. Int J Periodontics Restorative Dent. 2002;22:45–53
  15. SF-36 Health Survey. http://www.qualitymetric.com/products/sfsurveys.aspxAccessed October 2, 2008
  16. Brodsky JW, Rouse AM. Exostectomy for symptomatic bony prominences in diabetic Charcot feet. Clin Orthop Rel Res. 1993;(296):21–26
  17. Myerson M. Salvage of Diabetic Neuropathic Arthropathy with Arthrodesis. The Institute for Foot and Ankle Reconstruction at Mercy. 7 March 1994. http://footandankle.mdmercy.com/research_pubs/pressItem28.htmlAccessed June 22, 2007
  18. Bloomgarden ZT. Diabetes complications. Diabetes Care. 2004;27:1506–1514
  19. Wang JC, Le AW, Tsukuda RK. A new technique for Charcot's foot reconstruction. J Am Podiatr Assoc. 2002;92:429–436
  20. Armstrong DG, Stacpoole-Shea S, Nguyen H, Harkless LB. Lengthening of the Achilles tendon in diabetic patients who are at high risk for ulceration of the foot. J Bone Joint Surg Am. 1999;81:535–538
  21. Grant WP, Foreman EJ, Wilson AS, Jacobus DA, Kukla RM. Evaluation of Young's modulus in Achilles tendons with diabetic neuroarthropathy. J Am Podiatr Med Assoc. 2005;95:242–246
  22. Harris JR, Brand PW. Patterns of disintegration of the tarsus in the anaesthetic foot. J Bone Joint Surg Br. 1966;48:4–16
  23. Grant WP, Sullivan R, Sonenshine DE, Adam M, Slusser JH, Carson KA, et al. Electron microscopic investigation of the effects of diabetes mellitus on the Achilles tendon. J Foot Ankle Surg. 1997;36:272–278
  24. Grant WP, Jerlin EA, Pietrzak WS, Tam HS. The utilization of autologous growth factors for the facilitation of fusion in complex neuropathic fractures in the diabetic population. Clin Podiatr Med Surg. 2005;22:561–584
  25. Gandhi A, Van Gelderen J, Berberian WS. Platelet releasate enhances healing in patients with a non-union. 49th Annual Meeting of the Orthopedic Research Society, February 2–5, 2003.
  26. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85:638
  27. Thompson DM. Ilizarov techniques in the foot and ankle. Curr Opin Orthop. 2000;11:108–112
  28. Paley D. The correction of complex foot deformities using Ilizarov's distraction osteotomies. Clin Orthop Rel Res. 1993;(293):97–111
  29. Grant WP, Rubin L, Pupp G, Vito G, Jacobus D, Jerlin E, et al. Mechanical testing of seven fixation methods for generation of compression across a midtarsal osteotomy: a comparison of internal and external fixation devices. J Foot Ankle Surg. 2007;46:325–335
  30. Bem R, Jirkovská A, Fejfarova V, Skibova J, Jude EB. Intranasal calcitonin in the treatment of acute Charcot neuroosteoarthropathy: a randomized controlled trial. Diabetes Care. 2006;29:1392–1394

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(08)00415-8

doi: 10.1053/j.jfas.2008.10.004

Journal of Foot and Ankle Surgery
Volume 48, Issue 1 , Pages 30-38 , January 2009

Article Tools

* Image Usage & Resolution