CME OnDemand: 2021 Annual Meeting Instructional Course Lectures (ICLs)-Charcot Reconstruction: The Best Solutions for the Worst Problems

Video Transcription

Video Summary

Summary:<br /><br />The video discusses the challenges and various treatment options for patients with Charcot foot. The speaker highlights the increasing prevalence of diabetes and Charcot foot in the United States and the associated comorbidities. The goals of treatment for midfoot Charcot are discussed, including infection control, ulcer-free foot, appropriate footwear, and independent ambulation. The importance of stability in midfoot Charcot is emphasized, and the speaker mentions surgical intervention for cases with unstable deformities or unresponsiveness to conservative treatment. The evolution of internal fixation techniques, such as beaming and midfoot nails, is discussed, along with their promising results. The role of external circular fixators is also highlighted for complex cases with poor bone quality or soft tissue conditions. Individualized treatment plans are emphasized, considering factors like overall health, resources, and desired outcomes. <br /><br />The video transcript addresses the challenges and treatment options for Charcot foot, emphasizing the need for careful evaluation and treatment to prevent complications. Different approaches are mentioned, including debridement and antibiotics or immobilization with a circular external fixator. The choice of implants is discussed, such as nails with supplemental screws, frame over the nail, or nail-plate construct for stability and fusion. Wound management and complications are highlighted, along with considering patient function and quality of life in treatment decisions. The video also mentions potential procedures like Syme amputation or proximal distraction osteogenesis for limb length discrepancies, but cautions about their unpredictability and potential complications. In conclusion, the video emphasizes the complexity of treating Charcot foot and the importance of individualized, multi-disciplinary approaches for optimal patient outcomes.

Asset Subtitle

Moderator: Carroll P. Jones III, MD

Avoiding Surgery If You Can - Vinod K. Panchbhavi, MD
Failed, Not Fused, and Maybe Infected - W. Hodges Davis, MD
The Infected Midfoot: Frame... Period - Michael S. Pinzur, MD
Ankle/Hindfoot: Nail It? Frame It? Both? - Clayton C. Bettin, MD
Midfoot: All Clean and All In - Carroll P. Jones III, MD
The Infected Charcot Foot: Management Strategies - Veerabhadra K. Reddy, MD
Discussion

Keywords

Charcot foot

diabetes

prevalence

comorbidities

treatment options

infection control

ulcer-free foot

appropriate footwear

surgical intervention

internal fixation techniques

external circular fixators

individualized treatment plans

debridement

nails with supplemental screws

wound management