UNASSIGNED: @entity6 is a complex, limb-threatening disease process with major lifestyle-altering repercussions for @entity1 . When @entity746 leads to @entity85 , @entity1066 , and potential @entity281 despite conservative therapies, foot and ankle surgeons often consider reconstructive limb salvage procedures to restore function. The purpose of the present study was to evaluate the clinical and radiographic outcomes of @entity6 Charcot reconstruction using combined internal and external fixation. A total of 22 @entity1 were reviewed; 16 (72.73%) midfoot and 6 (27.27%) tibiotalocalcaneal arthrodesis procedures were consecutively performed from March 2009 to May 2013. All surgical procedures were performed in nonacute phases of the Charcot process in @entity1 with diagnosed @entity6 and @entity1897 . @entity1 were excluded from the study if they were not @entity6 despite having undergone Charcot reconstruction, regardless of the fixation method, or if they did not complete radiographic imaging. During a mean follow-up period of 58.60      42.37 (range 16 to 164) weeks, limb salvage was achieved in 20 @entity1 (90.91%), and 2 (9.09%) required below-the-knee amputation at a mean of 42      14.14  weeks. Wound dehiscence occurred in 8 (36.36%), pin tract @entity281 in 10 (45.45%), and superficial wound @entity281 in 9 (40.91%) and peaked in bimodal fashion at 4 and 8 weeks postoperatively. Radiographic analysis of the pre- versus postoperative alignment showed statistically significant changes in the lateral talo-first metatarsal angle (p  =  .02) and lateral talar declination angle (p  =  .01). The limb salvage rates with @entity6 Charcot reconstruction are improving in part because of the continued development of increasingly superior modalities for both internal and external fixation.

Combined Internal and External Fixation for XXXX Charcot Reconstruction: A Retrospective Case Series.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetic Charcot neuroarthropathy', 'diabetic', 'diabetes mellitus'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulceration'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1897 :: ('MESH:D010523', 'Disease') :: ['documented peripheral neuropathy'] @entity746 :: ('MESH:D000690', 'Disease') :: ['Charcot neuroarthropathy'] @entity85 :: ('MESH:D009140', 'Disease') :: ['unstable deformity']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetic']
