Ischaemic Charcot Midfoot Reconstruction Combined with Lateral Tibial Cortex Transverse Transport: Case Report.

IF 1.3 Q3 ORTHOPEDICS

Strategies in Trauma and Limb Reconstruction Pub Date : 2025-01-01 Epub Date: 2025-08-18 DOI:10.5005/jp-journals-10080-1637

Hussain Al Omar, Om Lahoti, Michael Edmonds, Venu Kavarthapu

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引用次数: 0

Abstract

Charcot neuroarthropathy involving foot is a frequent and potentially a devastating complication of diabetes. In addition to good control of diabetes, surgical shoes and regular podiatric treatment, correction of foot deformity to prevent ulceration, deep infection and limb loss are now well established. Vascular insufficiency is common in this group of patients and traditional revascularisation procedures do not always succeed in healing ulcers and treating critical ischaemia. It compromises wound and bone healing. We report successful use of a modified technique of tibial cortex transverse transport (TTT) in a case where traditional revascularisation methods failed to correct critical ischaemia. We have achieved successful soft tissue and bone healing using this technique.

How to cite this article: Al Omar H, Lahoti O, Edmonds M, et al. Ischaemic Charcot Midfoot Reconstruction Combined with Lateral Tibial Cortex Transverse Transport: Case Report. Strategies Trauma Limb Reconstr 2025;20(1):50-55.

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缺血Charcot中足重建联合胫骨外侧皮质横向转运1例。

Charcot神经关节病累及足部是糖尿病的一种常见且潜在的破坏性并发症。除了良好的糖尿病控制，外科鞋和定期足部治疗，纠正足部畸形，防止溃疡，深部感染和肢体丧失，现在已经很好地建立了。血管功能不全在这组患者中很常见，传统的血管重建术并不总能成功治愈溃疡和治疗重症缺血。它会影响伤口和骨头的愈合。我们报告了在传统血运方法未能纠正严重缺血的情况下，成功使用改良的胫骨皮质横向运输技术（TTT）。我们已经用这种技术成功地治愈了软组织和骨骼。如何引用本文：Al Omar H， Lahoti O, Edmonds M，等。缺血Charcot中足重建联合胫骨外侧皮质横向转运1例。创伤肢体重建2025；20(1):50-55。

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来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.