{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T10:05:24Z","timestamp":1781777124822,"version":"3.54.5"},"reference-count":29,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p> Charcot neuro-osteoarthropathy (CN) of the midfoot presents a major reconstructive challenge for the foot and ankle surgeon. The Synthes 6 mm Midfoot Fusion Bolt is both designed and recommended for patients who have a deformity of the medial column of the foot due to CN. We present the results from the first nine patients (ten feet) on which we attempted to perform fusion of the medial column using this bolt. Six feet had concurrent hindfoot fusion using a retrograde nail. Satisfactory correction of deformity of the medial column was achieved in all patients. The mean correction of calcaneal pitch was from 6\u00b0 (-15\u00b0 to +18\u00b0) pre-operatively to 16\u00b0 (7\u00b0 to 23\u00b0) post-operatively; the mean Meary angle from 26\u00b0 (3\u00b0 to 46\u00b0) to 1\u00b0 (1\u00b0 to 2\u00b0); and the mean talometatarsal angle on dorsoplantar radiographs from 27\u00b0 (1\u00b0 to 48\u00b0) to 1\u00b0 (1\u00b0 to 3\u00b0). <\/jats:p><jats:p> However, in all but two feet, at least one joint failed to fuse. The bolt migrated in six feet, all of which showed progressive radiographic osteolysis, which was considered to indicate loosening. Four of these feet have undergone a revision procedure, with good radiological evidence of fusion. The medial column bolt provided satisfactory correction of the deformity but failed to provide adequate fixation for fusion in CN deformities in the foot. <\/jats:p><jats:p> In its present form, we cannot recommend the routine use of this bolt. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015; 97-B:809\u201313 <\/jats:p>","DOI":"10.1302\/0301-620x.97b6.34844","type":"journal-article","created":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T11:05:00Z","timestamp":1433156700000},"page":"809-813","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":30,"title":["The medial column Synthes Midfoot Fusion Bolt is associated with unacceptable rates of failure in corrective fusion for Charcot deformity"],"prefix":"10.1302","volume":"97-B","author":[{"given":"D. A.","family":"Butt","sequence":"first","affiliation":[{"name":"King\u2019s College Hospital, Denmark\rHill, London SE5 9RS, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Hester","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, Denmark\rHill, London SE5 9RS, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Bilal","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, Denmark\rHill, London SE5 9RS, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Edmonds","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, Denmark\rHill, London SE5 9RS, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Kavarthapu","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, Denmark\rHill, London SE5 9RS, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"crossref","first-page":"A32","DOI":"10.2337\/diabetes.49.1.32","volume":"49","author":"Piaggesi A","year":"2000","journal-title":"Diabetes"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-2168"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B1.21196"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.05.017"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01396"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700605"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2011.02.001"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-9917"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.2337\/diab.9.2.100"},{"key":"r10","unstructured":"Reiber GE, Boyko EJ, Smith DG. Lower extremity foot ulcers and amputations in diabetes. In: Aubert R. Diabetes in America. DIANE Publishing, 1995:409\u2013428."},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(98)00181-0"},{"key":"r12","first-page":"CDO03556","volume":"1","author":"Edwards J","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2008.17.2.28178"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.12.003"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(99)80086-6"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199811000-00019"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900209"},{"key":"r18","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1464-5491.2006.01833i.x","volume":"23","author":"Bates M","year":"2006","journal-title":"Diabet Med"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01288"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0867"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601006"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900801"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01629"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712464210"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.07.014"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.10.037"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.12.002"},{"key":"r28","unstructured":"No authors listed. Class 2 device recall Synthes Midfoot Fusion Bolt. http:\/\/www.accessdata.fda.gov\/SCRIPTs\/cdrh\/cfdocs\/cfres\/res.cfm?id=121016 (date last accessed 20 February 2015)."},{"key":"r29","unstructured":"No authors listed. Midfoot Fusion Bolt Technical Guide. https:\/\/www.depuysynthes.com\/hcp\/trauma\/products\/qs\/65-mm-Midfoot-Fusion-Bolt (date last accessed 5 April 2015)."}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B6.34844","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.97B6.34844","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B6.34844","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T05:49:48Z","timestamp":1634622588000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.97B6.34844"}},"subtitle":["Results from a consecutive case series"],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1302\/0301-620X.97B6.34844"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.97b6.34844","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]},"assertion":[{"value":"2014-07-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-06-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}