1. Case for small group discussion
Charcot ankle
Case for small group discussion
AOTrauma—Foot & Ankle
Module 12: Charcot foot
Ewe-Juan Yeap, MY

2. Case description 67-year-old woman Left ankle pain
Difficult ambulation
Feels unstable
Short limb gait

3. Case description

4. Preoperative CT scans

5. Preoperative CT scans

6. Preoperative CT scans

7. Options Amputation TTC fusion—what approach? Osteotomy
Ankle replacement

8. Procedure—corrective fusion

9. Postoperative clinical images

10. Take-home messages Fusion requires maximum stability
Intramedullary device improves stability—combination of intra and extramedullary devices may be used
Fusion levels may need to be extended depending on preoperative investigations
Correction may require shortening