BACKGROUND: @entity11989 ( @entity11989 ) of the foot can induce severe @entity85 . Results of a consecutive clinical multi-centre study with Midfoot Fusion Bolt (MFB, Synthes GmbH, Oberdorf, Switzerland) are reported. METHODS: All @entity1 (aged 18 years and older) treated between 2009 and 2013 with surgical reconstruction of the midfoot with MFB for @entity11989 were included. Demographics, pre-surgical health status, details of foot pathology, details of surgery, postoperative treatment, treatment failure, and adverse events were registered. The following radiographic angles were measured on pre-op, post-op and last follow-up radiographs: talo-1st metatarsal (TMT) angle dorsoplantar and lateral view, and calcaneo-5th metatarsal angle. RESULTS: Forty-seven @entity1 (48 feet) were included in three centres. In 38 @entity1 (80.1%) @entity6 was diagnosed. @entity130 occurred in 21% of @entity1 and recurrent ulceration in 13%. Revision surgery for loss of correction was performed in three cases (6%). Union rate at final follow-up was 98%. Major amputation for deep infection was performed in two @entity1 (4%), minor amputation at the foot level in three cases (6%). Failure was more frequent when only one MFB (instead of 2 or 3) was used and no Gastrocnemius lengthening was performed. Radiographic alignment significantly improved pre- versus postoperatively and preoperatively versus follow-up. CONCLUSIONS: Realignment and fixation with MFB in severe @entity11989 result in adequate correction with minimal loss of correction in the observed clinical course. The non-union rate was lower than previously reported. Stable fixation with MFB is a valuable treatment option for @entity11989 with minimal loss of correction and high union rates. The use of a minimum of two bolts is recommended to avoid recurrent deformity. Clinical Trials.gov: NCT0177063.

Intramedullary fixation in severe XXXX with foot deformity results in adequate correction without loss of correction - Results from a multi-centre study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity11989 :: ('MESH:D009261', 'Disease') :: ['CN', 'Charcot osteo-neuroarthropathy'] @entity85 :: ('MESH:D009140', 'Disease') :: ['instability and deformity'] @entity130 :: ('MESH:D014947', 'Disease') :: ['Wound healing problems']
@entity11989 :: (MESH:D009261,Disease) :: ['Charcot osteo-neuroarthropathy']
