CME OnDemand: 2022 AOFAS Annual Meeting-Charcot Arthropathy Limb Salvage with 3D Custom Cage and Dynamic Hindfoot Fusion Nail Combination Fixation: A Case-Series

Charcot Arthropathy Limb Salvage with 3D Custom Cage and Dynamic Hindfoot Fusion Nail Combination Fixation: A Case-Series

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Video Transcription

Video Summary

The video features Dr. William Mack Malarkey, a third-year resident at Geisler Medical Center, presenting a case series on limb salvage for Sherco Arthropathy using a combination of 3D custom cage and dynamic hindfoot fusion nail fixation. Dr. Jared Cush was the principal investigator for the project. The FDA has approved all pharmaceuticals and medical devices used in the presentation. The study aimed to evaluate the effectiveness of this new treatment modality for limb salvage in patients with Sherco Arthropathy. The study included 13 patients with an average follow-up of 323 days. Complications, patient-reported outcomes, and radiographic measures were analyzed. Eleven patients had successful limb salvage, while two required below-the-knee amputations. Patient demographics, complications, and results of deformity correction were presented. The outcomes suggest that using custom patient-specific 3D implants combined with a TTC hindfoot fusion nail is a viable treatment option for Sherco Arthropathy patients with hindfoot collapse.

Asset Subtitle

Hui Zhang, MD, Maxwell Vogel, MD, William M. Malarkey, MD, and Gerard J. Cush, MD

Keywords

limb salvage

Sherco Arthropathy

3D custom cage

dynamic hindfoot fusion nail fixation

treatment modality