What The Evidence Reveals About Midfoot Ulcers In Patients With Diabetes

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Valerie Schade, DPM, AACFAS

1.  Wieman TJ, Griffiths GD, Polk HC Jr. Management of diabetic midfoot ulcers. Ann Surg. 1992; 215(6):627-30; discussion 630-2.
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7.  Pinzur MS, Sage R, Stuck R, Kaminsky S, Zmuda A. A treatment algorithm for neuropathic (Charcot) midfoot deformity. Foot Ankle. 1993; 14(4):189-97.
8.  Brodsky JW, Rouse AM. Exostectomy for symptomatic bony prominences in diabetic charcot feet. Clin Orthop Relat Res. 1993; 296:21-6.
9. Rosenblum BI, Giurini JM, Miller LB, Chrzan JS, Habershaw GM. Neuropathic ulcerations plantar to the lateral column in patients with Charcot foot deformity: a flexible approach to limb salvage. J Foot Ankle Surg. 1997; 36(5):360-3.
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11. Myerson MS, Henderson MR, Saxby T, Short KW. Management of midfoot diabetic neuroarthropathy. Foot Ankle Int. 1994; 15(5):233-41.
12. Sammarco VJ. Superconstructs in the treatment of charcot foot deformity: plantar plating, locked plating, and axial screw fixation. Foot Ankle Clin. 2009; 14(3):393-407.
13. Assal M, Stern R. Realignment and extended fusion with use of a medial column screw for midfoot deformities secondary to diabetic neuropathy. J Bone Joint Surg Am. 2009; 91(4):812-20.
14. Grant WP, Garcia-Lavin SE, Sabo RT, Tam HS, Jerlin E. A retrospective analysis of 50 consecutive Charcot diabetic salvage reconstructions. J Foot Ankle Surg. 2009; 48(1):30-8.
15. Grant WP, Garcia-Lavin S, Sabo R. Beaming the columns for Charcot diabetic foot reconstruction: a retrospective analysis. J Foot Ankle Surg. 2011; 50(2):182-9.
16. Wiewiorski M, Yasui T, Miska M, Frigg A, Valderrabano V. Solid bolt fixation of the medial column in charcot midfoot arthropathy. J Foot Ankle Surg. 2013; 52(1):88-94.
17.  Wiewiorski M, Valderrabano V. Intramedullary fixation of the medial column of the foot with a solid bolt in Charcot midfoot arthropathy: a case report. J Foot Ankle Surg. 2012; 51(3):379-81.
18. Cullen BD, Weinraub GM, Van Gompel G. Early results with use of the midfoot fusion bolt in charcot arthropathy. J Foot Ankle Surg. 2013; 52(2):235-8.
19. Early JS, Hansen ST. Surgical reconstruction of the diabetic foot: a salvage approach for midfoot collapse. Foot Ankle Int. 1996; 17(6):325-30.

   For further reading, see “How To Manage The Charcot Midfoot Deformity” in the July 2010 issue of Podiatry Today.

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