Charcot Arthropathy Case Study

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Charcot arthropathy is a disabling disease that seriously affect the quality of patients’ life with significant limitation of physical activity than any other sever medical illnesses(14,15). Whenever possible, prevention is always better than treatment. In this way early recognition of patient at risk of developing Charcot arthropathy is considered to be the best way for treatment of such problem. Application of total contact cast for those patient can settle down the process of Charcot arthropathy, and also can prevent further collapse of the foot (16). Although the complication rate of surgical intervention of Charcot arthropathy account for about more than 30%. Severe deformity of Charcot arthropathy is better be treated in a surgical way targeting reconstruction of the foot and ankle(14,17,18,19). After reviewing there is no relevant evidence-based literature, but clinical reports to approve surgical fixation…show more content…
Also success can be gained for fixation and induced fusion of midfoot pathology with intact hindfoot (10,14,16,28). Peritalar complex Charcot arthropathy is a difficult pathology to treat as the destruction that occur in the talus during the process of Charcot arthropathy end with distortion of the ankle, subtalar and talonavicular joints. Using different modalities for fixation in Charcot arthropathy increases the stability and hence the chance for successful fusion (29). With affection of the hindfoot and part of the midfoot the need to use more than one modality becomes a necessity. Sammarco(30) in 2009 introduced the term “superconstruct” which refer to the effective fixation technique that fulfill the following criteria: fusion that extend beyond the conflict region, resection of deformity for decreased tissue tension, the use of the strongest implant that can be tolerated by the surrounding tissues, and optimum device positioning
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