What is the efficacy of minimally invasive approaches to the surgical treatment of Charcot arthropathy?

Updated: Jun 21, 2018
  • Author: Mrugeshkumar Shah, MD, MPH, MS; Chief Editor: Vinod K Panchbhavi, MD, FACS  more...
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Answer

A small study by Lamm et al found minimally invasive arthrodesis plus gradual Charcot foot correction with the Taylor spatial frame to be an effective treatment. This technique may aid in the avoidance of incomplete deformity correction, fixation failure, infections, shortening of the foot, and the use of long-term casts or braces. [24]

Neuropathic minimally invasive surgeries (NEMISIS) were described by Miller in a 2016 review. [25]  Among the potential advantages suggested for this approach are that the percutaneous incisions employed cause minimal damage to soft tissues and are made away from blood vessels (thereby lowering the risk of nonhealing wounds, tissue necrosis, and major amputation). Patients with a recurrent ulcer, a deformity that is at risk for ulceration, or progressive joint destruction on serial radiographs may be considered for NEMISIS.


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