CME OnDemand: Charcot Solutions-Charcot Solutions 2025

Video Transcription

Video Summary

The recent AOFAS webinar on Charcot Solutions was moderated by Dr. Carol Jones, with panelists Drs. Carl Schweitzer, Christopher Gross, and Adam Schiff. Aimed at discussing treatment strategies for Charcot deformities, the session shared insights on surgical interventions, emphasizing both internal and external fixation techniques.<br /><br />Dr. Gross highlighted the growing need for Charcot reconstructions, especially given the increasing prevalence of diabetes. He detailed the pros and cons of surgical strategies, suggesting that beaming may replace plating due to better soft tissue outcomes. Key considerations included the importance of subtalar joint fusions and the application of minimally invasive techniques for joint preparation.<br /><br />Dr. Schweitzer focused on ankle and hindfoot Charcot, asserting these require surgical intervention due to instability. He advocated for TTC fusions and suggested augmenting with external fixation when necessary, highlighting that including subtalar fusion in reconstructive plans can reduce further complications.<br /><br />Dr. Schiff outlined the benefits of external fixation, especially in infected cases or those with poor bone quality. He highlighted the flexibility of external fixation in adapting to patient needs, emphasizing early operative interventions over prolonged non-weight-bearing periods for better outcomes.<br /><br />Throughout the discussion, the importance of mechanical constructs to support surgical success was underscored, with a focus on achieving stable, pain-free, planigrade feet for enhanced patient mobility. Panelists also highlighted the necessity of interdisciplinary care for managing Charcot patients' complex medical needs.

Asset Subtitle

Moderator: Carroll P. Jones, MD
Faculty: Karl M. Schweitzer, MD; Christopher E. Gross, MD; Adam P. Schiff, MD

This webinar will discuss Charcot Arthropathy of the foot and ankle, with a focus on surgical indications and technique. Topics include internal and external fixation, postoperative care, revision surgery, and complications. The webinar will conclude with case presentations and opinions from our expert faculty. Feedback and questions from the audience will be encouraged and addressed.

At the conclusion of this webinar, you will be able to:

Identify Surgical Indications for the treatment of Charcot Foot
Discuss internal fixation constructs and technique for midfoot and ankle/hindfoot deformities
Explain the role of external fixation
Identify best practices in postoperative care and managing complications.

Meta Tag

Content Type Webinar Recording

Year Published 2025

Keywords

Charcot Solutions

AOFAS webinar

Charcot deformities

surgical interventions

internal fixation

external fixation

subtalar joint fusion

minimally invasive techniques

TTC fusion

interdisciplinary care