| Title: |
Minimally Invasive Surgical Correction of Hindfoot and Ankle Deformities in Charcot Neuroarthropathy: A Proof-of-Concept in Five Patients |
| Authors: |
Mathieu M. Gevers; Maxim K. Gevers; Frank Nobels; Wahid Rezaie |
| Source: |
Journal of the American Podiatric Medical Association ; Volume 116 ; Issue 2 ; Pages: 24024 |
| Publisher Information: |
Multidisciplinary Digital Publishing Institute |
| Publication Year: |
2026 |
| Collection: |
MDPI Open Access Publishing |
| Subject Terms: |
n/a |
| Description: |
Background: Charcot neuroarthropathy (CN) of the hindfoot or ankle often results in important deformity, instability, chronical ulceration and infection that, without adequate treatment, could lead to trans-tibial amputation. Several surgical procedures for the reconstruction of hindfoot- and ankle CN deformities have been described in literature. Their main disadvantage is the extensive soft tissue dissection, which could lead to infection, necrosis and implant failure. Methods: We introduce a novel technique of minimally invasive surgery (MIS) for correction of CN deformities, followed by retrograde intramedullary nailing of the hindfoot for stabilization. This retrospective limited case-series reports the outcome of 5 patients (3 women, 2 men, 5 feet) with unstable hindfoot Charcot deformities and neuropathic ulcers who underwent MIS. Results: Mean age was 54.5 years ; the median American Society of Anesthesiologists score was 3. Three patients underwent a single-stage procedure and two patients underwent a two-stage treatment. No postoperative infections occurred. Healing of ulcerations was achieved at average of 5 weeks. Hindfoot angle improved from 33.6 to 6.2 degrees (p |
| Document Type: |
text |
| File Description: |
application/pdf |
| Language: |
English |
| DOI: |
10.7547/24-024 |
| Availability: |
https://doi.org/10.7547/24-024 |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.991CD23E |
| Database: |
BASE |