Charcot hindfoot deformity reconstruction using a hindfoot nail- surgical technique

Venu Kavarthapu; Thomas Hester

doi:10.1016/j.jcot.2021.02.007

Charcot hindfoot deformity reconstruction using a hindfoot nail- surgical technique

J Clin Orthop Trauma. 2021 Feb 23:16:277-284. doi: 10.1016/j.jcot.2021.02.007. eCollection 2021 May.

Authors

Venu Kavarthapu^{1

2}, Thomas Hester¹

Affiliations

¹ Consultant Orthopaedic Surgeon, Department of Trauma & Orthopaedics, King's College Hospital Denmark Hill, London, SE5 9RS, UK.
² Associate Professor, University of Southern Denmark, King's College Hospital Denmark Hill, London, SE5 9RS, UK.

Abstract

Various techniques of reconstruction of deformed Charcot hindfoot using different internal fixation devices have been described in the literature. We present our surgical technique using specific principles that has resulted in improved outcomes to allow correction of deformity, obtain stability and allow progression to weightbearing in orthotic shoes. We describe our preoperative evaluation, planning and surgical timing. We also hope to share some technical pearls and details on the finer points to achieve a satisfactory correction and reduce the learning curve.

Keywords: Charcot; Hindfoot; Neuropathic deformity; Reconstruction.