Charcot arthropathy commonly affects the midfoot and is often an extremely difficult and challenging surgical problem. Operative treatment with medial column arthrodesis using large intramedullary bolts or screws is an evolving and increasingly popular technique called “beaming.” The technique is described here.
AssalMSternR. Realignment and extended fusion with use of a medial column screw for midfoot deformities secondary to diabetic neuropathy. J Bone Joint Surg Am. 2009;91:812-820.
2.
CharcotJM. Lecons sur les maladies du systeme nerveux. Archives de Physiologie. 1868.
3.
JeffcoateWJGameFCavanaghPR. The role of proinflammatory cytokines in the cause of neuropathic osteoarthropathy (acute Charcot foot) in diabetes. Lancet. 2005;366:2058-2061.
4.
PinzurMS. Current concepts review: Charcot arthropathy of the foot and ankle. Foot Ankle Intl. 2007;28(8);952-959.
5.
RooneyJHutabaratSRGrujicLHansenST. Surgical reconstruction of the neuropathic foot. Foot Ankle. 2002;12(4):213-223.
6.
SaltzmanCLHagyMLZimmermanBEstinMCooperR. How effective is intensive nonoperative initial treatment of patients with diabetes and Charcot arthropathy of the feet?Clin Orthop Relat Res. 2005;435:185-190.
7.
WiewiorskiMYasuiTMiskaMFriggAValderrabanoV. Solid bolt fixation of the medial column in Charcot midfoot arthropathy. J Foot Ankle Surg. 2013;52:88-94.