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	<title>Orthopedic Foot and Ankle Center &#187; Charcot foot reconstruction</title>
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		<title>OFAC Docs First in World to Use New Intramedullary Compression Device for Charcot Foot Reconstruction</title>
		<link>http://www.orthofootankle.com/2009/10/ofac-docs-first-in-world-to-use-new-intramedullary-compression-device-for-charcot-foot-reconstruction/</link>
		<comments>http://www.orthofootankle.com/2009/10/ofac-docs-first-in-world-to-use-new-intramedullary-compression-device-for-charcot-foot-reconstruction/#comments</comments>
		<pubDate>Wed, 21 Oct 2009 03:16:33 +0000</pubDate>
		<dc:creator>Christopher F. Hyer, DPM</dc:creator>
				<category><![CDATA[Charcot]]></category>
		<category><![CDATA[New Technique]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Beam]]></category>
		<category><![CDATA[Charcot foot reconstruction]]></category>
		<category><![CDATA[Dr. Hyer]]></category>
		<category><![CDATA[TarsX]]></category>

		<guid isPermaLink="false">http://www.orthofootankle.com/?p=1811</guid>
		<description><![CDATA[  One of the many challenging and complex problems our diabetic patients face is Charcot foot or neuroarthropathy. This condition creates destruction and collapse of the bones in the foot and can lead to amputations.   &#8220;Charcot Foot&#8221; with joint dislocations   The physicians at OFAC  are skilled at this complex reconstructive surgery and are constantly developing [...]]]></description>
			<content:encoded><![CDATA[<p>  One of the many challenging and complex problems our diabetic patients face is Charcot foot or neuroarthropathy. This condition creates destruction and collapse of the bones in the foot and can lead to amputations.</p>
<p> </p>
<div id="attachment_1813" class="wp-caption alignleft" style="width: 186px"><img class="size-medium wp-image-1813" title="IMG_0357" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/IMG_03571-176x300.jpg" alt="&quot;Normal&quot; foot on xray" width="176" height="300" /><p class="wp-caption-text">&quot;Normal&quot; foot on xray</p></div>
<p><img class="size-medium wp-image-1814" title="IMGP5300" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/IMGP5300-207x300.jpg" alt="&quot;Charcot Foot&quot; with joint dislocations" width="207" height="300" /></p>
<p><span style="line-height: 17px;">&#8220;Charcot Foot&#8221; with joint dislocations</span></p>
<p> </p>
<p>The <a href="http://www.orthofootankle.com/who-we-are/our-physicians/">physicians at OFAC </a> are skilled at this complex reconstructive surgery and are constantly developing and using new techniques to improve patient outcomes. Recently, <a href="http://www.orthofootankle.com/who-we-are/our-physicians/christopher-f-hyer-dpm/">Dr. Hyer</a> is one of the first physicians in the world to utilize this innovative, new intramedullary compression device within the bones of the foot as part of this reconstruction. This new implant (called <a href="http://www.extremitymedical.com/charcx.htm">TarsX</a>) provides a much stronger form of fixation compared to typical screws and plates that are used and should allow for better bone healing. </p>
<p>Here is a <a href="http://www.youtube.com/watch?v=yj6AKaW7-aY">video</a> of technique on cadaver specimen (you&#8217;re warned!)</p>
<p><strong>Case Presentation</strong></p>
<p>This case has a typical pattern of midfoot joint destruction with severe foot deformity as a result.</p>
<p> </p>
<div id="attachment_1815" class="wp-caption alignleft" style="width: 258px"><img class="size-medium wp-image-1815" title="1" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/1-248x299.jpg" alt="Severe Charcot Midfoot deformity with planned correction" width="248" height="299" /><p class="wp-caption-text">Severe Charcot Midfoot deformity with planned correction</p></div>
<p> </p>
<div id="attachment_1816" class="wp-caption aligncenter" style="width: 310px"><img class="size-medium wp-image-1816" title="2" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/2-300x231.jpg" alt="Reconstruction in process. Half of implants in." width="300" height="231" /><p class="wp-caption-text">Reconstruction in process. Half of implants in.</p></div>
<p> </p>
<div id="attachment_1817" class="wp-caption alignleft" style="width: 310px"><img class="size-medium wp-image-1817" title="3" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/3-300x240.jpg" alt="Reconstruction and realignment finished. Complete implants in." width="300" height="240" /><p class="wp-caption-text">Reconstruction and realignment finished. Complete implants in.</p></div>
<p> </p>
<div id="attachment_1818" class="wp-caption aligncenter" style="width: 310px"><img class="size-medium wp-image-1818" title="CIMG1110" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/CIMG1110-300x234.jpg" alt="Implants in. Realigned foot and arch achieved." width="300" height="234" /><p class="wp-caption-text">Implants in. Realigned foot and arch achieved.</p></div>
<p>  Please check back often for updates and new techniques such as this for these challenging cases.</p>
<p>Dr. Hyer</p>
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