by May Fong Mak, Richard Stern, and Mathieu Assal

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Presentation transcript:

by May Fong Mak, Richard Stern, and Mathieu Assal Masquelet Technique for Midfoot Reconstruction Following Osteomyelitis in Charcot Diabetic Neuropathy by May Fong Mak, Richard Stern, and Mathieu Assal JBJS Case Connect Volume 5(2):e28 April 8, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Mal perforans ulcer with a rocker-bottom deformity in a Charcot foot (left). Mal perforans ulcer with a rocker-bottom deformity in a Charcot foot (left). During debridement, deep infection arising from the ulcer was seen in the midfoot (right). May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Postoperative anteroposterior radiograph showing a well-aligned medial column and a cement spacer occupying the midfoot defect. Postoperative anteroposterior radiograph showing a well-aligned medial column and a cement spacer occupying the midfoot defect. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Postoperative lateral radiograph showing restoration of the height of the medial longitudinal arch. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

The cement block that had been implanted six weeks earlier for membrane induction (left) was removed as atraumatically as possible to reveal the membrane chamber (right). The cement block that had been implanted six weeks earlier for membrane induction (left) was removed as atraumatically as possible to reveal the membrane chamber (right). May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Immediate postoperative anteroposterior radiograph showing bone graft filling the midfoot defect. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Immediate postoperative lateral radiograph showing that a plantigrade foot had been achieved through the skeletal reconstruction. Immediate postoperative lateral radiograph showing that a plantigrade foot had been achieved through the skeletal reconstruction. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph at twenty-five months postoperatively showing the graft assuming a cortical appearance. Anteroposterior radiograph at twenty-five months postoperatively showing the graft assuming a cortical appearance. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph at twenty-five months postoperatively demonstrating consolidation at the midfoot. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.

A well-aligned foot without ulceration at twenty-five months postoperatively. May Fong Mak et al. JBJS Case Connect 2015;5:e28 ©2015 by The Journal of Bone and Joint Surgery, Inc.