OFAC Docs First in World to Use New Intramedullary Compression Device for Charcot Foot Reconstruction

  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.

"Normal" foot on xray

“Charcot Foot” with joint dislocations

The physicians at OFAC  are skilled at this complex reconstructive surgery and are constantly developing and using new techniques to improve patient outcomes. Recently, Dr. Hyer 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 TarsX) provides a much stronger form of fixation compared to typical screws and plates that are used and should allow for better bone healing. 

Here is a video of technique on cadaver specimen (you’re warned!)

Case Presentation

This case has a typical pattern of midfoot joint destruction with severe foot deformity as a result.

Severe Charcot Midfoot deformity with planned correction

Reconstruction in process. Half of implants in.

Reconstruction and realignment finished. Complete implants in.

Implants in. Realigned foot and arch achieved.

  Please check back often for updates and new techniques such as this for these challenging cases.

Dr. Hyer