Charcot Reconstruction with Intramedullary Foot Fixation

Many patients with Charcot neuropathy develop a malaligned foot position. Deformity of the foot, instability, and ulceration are all common indications for Charcot reconstruction surgery. Internal fixation should always be used in caution when prior osteomyelitis has been diagnosed. Presented is a case of a 47 year old diabetic male with a Lisfranc and medial cuneiform Charcot of the left foot who underwent intramedullary foot fixation. Performing open formal fusion of the Charcot joints and stabilization of the adjacent joints with intramedullary foot fixation provides for anatomical realignment and stable fixation. Augmenting the intramedullary fixation with bone graft and/or external fixation can enhance the results.