Operative Techniques in Orthopaedics
Volume 16, Issue 1 , Pages 10-17, January 2006

Surgical Management of the Unstable Diabetic Charcot Deformity Using the Taylor Spatial Frame

  • Thomas Zgonis, DPM, FACFAS

      Affiliations

    • Department of Orthopaedics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
    • Corresponding Author InformationAddress reprint requests to Thomas Zgonis, DPM, FACFAS, Department of Orthopaedics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC-7776, San Antonio, TX 78229.
    • ,
  • Thomas S. Roukis, DPM, FACFAS

      Affiliations

    • Limb Preservation Service, Department of Vascular Surgery, Madigan Army Medical Center, Tacoma, WA.
    • ,
  • Vasilios Polyzois, MD, PhD

      Affiliations

    • Department of Orthopaedic Traumatology, KAT Hospital, University of Athens Medical School, Athens, Greece.
    • ,
  • Dane K. Wukich, MD

      Affiliations

    • Foot and Ankle Division, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

The surgical repair of unstable acute and chronic Charcot foot and ankle deformities remain a challenge with little guidance available in the medical literature regarding surgical intervention with the use of external fixation devices and specifically the Taylor Spatial Frame. The authors present a brief review of the diabetic Charcot neuropathic osteoarthropathy process and a detailed review of their approach to surgical intervention using the Taylor Spatial Frame. In this regard, a detailed “step-by-step” guide through the foot specific Taylor Spatial Frame computer-based system is provided.

Keywords:  diabetic Charcot neuroarthropathy , Charcot fracture-dislocation , diabetic neuroarthropathy , diabetic neuropathic osteoarthropathy , external fixation , Taylor Spatial Frame

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PII: S1048-6666(06)00005-X

doi:10.1053/j.oto.2006.01.004

Operative Techniques in Orthopaedics
Volume 16, Issue 1 , Pages 10-17, January 2006

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