Presentation is loading. Please wait.

Presentation is loading. Please wait.

Realignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy by Mathieu Assal, Adrien Ray,

Published byMarybeth Carpenter Modified over 8 years ago

Similar presentations

Presentation on theme: "Realignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy by Mathieu Assal, Adrien Ray,"— Presentation transcript:

1 Realignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy by Mathieu Assal, Adrien Ray, and Richard Stern J Bone Joint Surg Am Volume 92(Supplement 1 Part 1):20-31 March 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1 through 4 An illustrative case of a patient with progressive midfoot and hindfoot deformities secondary to diabetic neuropathy that led to a severe, unstable rocker-bottom foot with plantar ulceration. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

3 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

4 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

5 Clinical photograph of the deformity. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

6 Preoperative photograph of the ulcer. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

7 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

8 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

9 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

10 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

11 Drawing showing the use of a temporary external fixator or suitable clamp for distraction of the joints between the talar neck and the first metatarsal shaft. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

12 A: Drawing of a guidewire drilled in a retrograde fashion parallel to the subtalar joint through the head of the talus, exiting posterolateral to the Achilles tendon. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

13 The position of the guidewire is assessed with the image intensifier as it exits the posterior aspect of the talus. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

14 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

15 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

16 Insertion of the 8.0-mm cannulated, fully threaded screw. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

17 Two additional 3.5-mm screws are placed on the medial side in order to fix the frequently fragmented navicular and medial cuneiform bones. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

18 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

19 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

20 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

21 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

22 Preoperative photograph of the plantar ulcer. Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

23 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

24 Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

25 Charcot restraint orthotic walker (CROW). Mathieu Assal et al. J Bone Joint Surg Am 2010;92:20-31 ©2010 by The Journal of Bone and Joint Surgery, Inc.

Download ppt "Realignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy by Mathieu Assal, Adrien Ray,"

Similar presentations

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.
by Levent Eralp, and Mehmet Kocaoglu J Bone Joint Surg Am

by Levent Eralp, and Mehmet Kocaoglu J Bone Joint Surg Am
Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate by Christophe Sadowski,

Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate by Christophe Sadowski,
Revision Posterior Cruciate Ligament Reconstruction with a Modified Tibial-Inlay Double-Bundle Technique by Sang Hak Lee, Young-Bok Jung, Sung-Min Rhee,

Revision Posterior Cruciate Ligament Reconstruction with a Modified Tibial-Inlay Double-Bundle Technique by Sang Hak Lee, Young-Bok Jung, Sung-Min Rhee,
Surgical Management of Knee Dislocations by Anikar Chhabra, Peter S. Cha, Jeffrey A. Rihn, Brian Cole, Craig H. Bennett, Robert L. Waltrip, and Christopher.

Surgical Management of Knee Dislocations by Anikar Chhabra, Peter S. Cha, Jeffrey A. Rihn, Brian Cole, Craig H. Bennett, Robert L. Waltrip, and Christopher.
Effective Treatment of Posttraumatic and Postoperative Edema in Patients with Ankle and Hindfoot Fractures by Manuela Rohner-Spengler, Angela Frotzler,

Effective Treatment of Posttraumatic and Postoperative Edema in Patients with Ankle and Hindfoot Fractures by Manuela Rohner-Spengler, Angela Frotzler,
Posterior-Inferior Capsular Shift for the Treatment of Recurrent, Voluntary Posterior Subluxation of the Shoulder* by BRUNO FUCHS, BERNHARD JOST, and CHRISTIAN.

Posterior-Inferior Capsular Shift for the Treatment of Recurrent, Voluntary Posterior Subluxation of the Shoulder* by BRUNO FUCHS, BERNHARD JOST, and CHRISTIAN.
Regeneration of Meniscal Cartilage with Use of a Collagen Scaffold. Analysis of Preliminary Data* by KEVIN R. STONE, J. RICHARD STEADMAN, WILLIAM G. RODKEY,

Regeneration of Meniscal Cartilage with Use of a Collagen Scaffold. Analysis of Preliminary Data* by KEVIN R. STONE, J. RICHARD STEADMAN, WILLIAM G. RODKEY,
by May Fong Mak, Richard Stern, and Mathieu Assal

by May Fong Mak, Richard Stern, and Mathieu Assal
Checkrein Deformity Associated with Intra-Articular Talar Fracture

Checkrein Deformity Associated with Intra-Articular Talar Fracture
Associations Between Preoperative Physical Therapy and Post-Acute Care Utilization Patterns and Cost in Total Joint Replacement by Richard Snow, Jaymes.

Associations Between Preoperative Physical Therapy and Post-Acute Care Utilization Patterns and Cost in Total Joint Replacement by Richard Snow, Jaymes.
Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem.

Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem.
by Joseph F. Slade, Andrew P. Gutow, and William B. Geissler

by Joseph F. Slade, Andrew P. Gutow, and William B. Geissler
Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone.

Minimally Invasive Approach for the Treatment of Non- Isolated Congenital Vertical Talus by Ornusa Chalayon, Amelia Adams, and Matthew B. Dobbs J Bone.
Posterior Ankle and Hindfoot Arthroscopy

Posterior Ankle and Hindfoot Arthroscopy
Management of Mason Type-III Radial Head Fractures with a Titanium Prosthesis, Ligament Repair, and Early Mobilization by G.I. Bain, N. Ashwood, R. Baird,

Management of Mason Type-III Radial Head Fractures with a Titanium Prosthesis, Ligament Repair, and Early Mobilization by G.I. Bain, N. Ashwood, R. Baird,
Topical Glyceryl Trinitrate Treatment of Chronic Noninsertional Achilles Tendinopathy by Justin A. Paoloni, Richard C. Appleyard, Janis Nelson, and George.

Topical Glyceryl Trinitrate Treatment of Chronic Noninsertional Achilles Tendinopathy by Justin A. Paoloni, Richard C. Appleyard, Janis Nelson, and George.
Scoliosis in Patients with Duchenne Muscular Dystrophy by Lori A. Karol J Bone Joint Surg Am Volume 89(suppl 1):155-162 February 1, 2007 ©2007 by The Journal.

Scoliosis in Patients with Duchenne Muscular Dystrophy by Lori A. Karol J Bone Joint Surg Am Volume 89(suppl 1): February 1, 2007 ©2007 by The Journal.
Midfoot Reconstruction for a Large, Aggressive Giant-Cell Tumor by Jae Hoon Ahn, Won-Sik Choy, Ha-Yong Kim, and Han-Soo Kim J Bone Joint Surg Am Volume.

Midfoot Reconstruction for a Large, Aggressive Giant-Cell Tumor by Jae Hoon Ahn, Won-Sik Choy, Ha-Yong Kim, and Han-Soo Kim J Bone Joint Surg Am Volume.
Complications Associated with Pedicle Screws* by JOHN E. LONSTEIN, FRANCIS DENIS, JOSEPH H. PERRA, MANUEL R. PINTO, MICHAEL D. SMITH, and ROBERT B. WINTER.

Complications Associated with Pedicle Screws* by JOHN E. LONSTEIN, FRANCIS DENIS, JOSEPH H. PERRA, MANUEL R. PINTO, MICHAEL D. SMITH, and ROBERT B. WINTER.

Similar presentations

Ads by Google