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Charcot Reconstruction with Medialis System 3.5 and the CBS System 7.5

January 01, 2012

Contributors: Alexander Sikorski, MD; Veronika Redkina, MD; Veronika Redkina, MD

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Management of musculoskeletal pathology in diabetic patients represents a significant challenge to the orthopaedic surgeon. For instance, diabetes mellitus has a known profound deleterious effect on bone healing, which can lead to a high rate of delayed union or nonunion in injured patients or patients undergoing elective surgery. Therefore, surgeons should pay special attention to appropriate surgical fixation techniques to reduce the risk of delayed union and soft tissue complications. In our video presentation, we show our technique for reconstruction and stabilization of the collapsed medial arch in Charcot foot (Sanders pattern II or III) using 7.5-mm cannulated screws and 3.5-mm arrow-formed plates. The desired outcome of the surgery is a stable, plantigrade foot without skin ulcerations. Postoperatively, the patient can wear a specially fitted shoe, and the foot can bear the patient's full weight.

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