Abstract
Charcot neuroarthropathy of the foot and ankle is associated with periarticular deformities
and progressive radiographic changes. There have been studies analyzing the radiographic
angulations and deformity progression in Charcot neuroarthropathy deformity. The aim
of this paper is to provide systematic review of studies that evaluate foot and ankle
radiographic parameters in patients with Charcot neuroarthropathy. A multidatabase
search including, medline, EMBASE, Google Scholar, Cochrane Library, Clinicaltrials.gov
and reference lists of included studies, was performed from 1980 to 2020. A total
of 7 articles were included that analyzed radiographic angulations in Charcot neuroarthropathy
deformity. The articles could be categorized into nonoperative angulation measurements,
and pre- versus postoperative angulation measurements. The presence of ulcerations
and the severity of the Charcot neuroarthropathy deformity were found to result from
predominantly sagittal plane deformity. The deformity initiates with medial column
collapse and progresses to continual lateral column collapse. Surgical intervention
resulting in immediate postoperative improvement in angular measurements, however,
without beaming of both the medial and lateral column, there was recurrence of the
lateral column deformity. This systematic review of articles analyzing angular deformities
in Charcot neuroarthropathy patients, demonstrates the progressive sagittal plane
breakdown patterns of Charcot as well as the benefits of surgical intervention.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: October 06, 2020
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2020 by the American College of Foot and Ankle Surgeons. All rights reserved.
