Severe Charcot arthropathy

medial and lateral arthrodesis of the foot with intramedullary Bolt nails

Authors

  • Sofia da Silva Moura Milheiro de Carvalho
  • Eduardo Silva
  • Gonçalo Lavareda
  • Filipe Machado
  • Francisco Gonçalves
  • Catarina Bispo
  • Mónica Vasconcelos
  • Amílcar Araújo
  • Rita Ricardo
  • Virgílio Severino
  • João Cura Mariano

Keywords:

Charcot Arthropathy, Arthrodesis, Rocker-bottom foot, Plantar ulcer, Intramedullary bolt nails

Abstract

Charcot neuropathy is a syndrome characterized by fractures and luxations that occur with nonor minor trauma. It affects patients with peripheric neuropathy resulting from different conditions,the most common being the diabetes. We present the case of a male patient, 62 years old, witharterial hypertension, that comes to an appointment at our Orthopedic Hospital with the previousdiagnosis of Charcot arthropathy (etiology still unclear) with years of evolution, that had beenproposed to a foot amputation because of a severe structural deformity of the foot and recurrentplantar ulceration. Given the advanced stage, we proposed an arthrodesis of the medial and lateralcolumns of the foot (with intramedullary Bolt nails) and autologous bone graft form the iliac crest.With this surgical approach, it was possible to correct the foot deformity in “rocker bottom foot”,and a stable plantigrade foot was obtained. This way, there was scarring of the plantar ulcer andconsequent preservation of the affected limb. Functionally, there was a return to independence inactivities of daily living, and all the objectives proposed were achieved.

Author Biographies

Sofia da Silva Moura Milheiro de Carvalho

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Eduardo Silva

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Gonçalo Lavareda

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Filipe Machado

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Francisco Gonçalves

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Catarina Bispo

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Mónica Vasconcelos

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Amílcar Araújo

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Rita Ricardo

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

Virgílio Severino

Hospital Ortopédico Santiago do Outão, Centro Hospitalar de Setúbal, Portugal.

João Cura Mariano

Centro Hospitalar e Universitário de Coimbra, Portugal.

Published

2018-12-20

How to Cite

Carvalho, S. da S. M. M. de, Silva, E., Lavareda, G., Machado, F., Gonçalves, F., Bispo, C., … Mariano, J. C. (2018). Severe Charcot arthropathy: medial and lateral arthrodesis of the foot with intramedullary Bolt nails. Tobillo Y Pie, 10(2), 103–106. Retrieved from https://scijfootankle.emnuvens.com.br/tobilloypie/article/view/1357

Issue

Section

Case Report