{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:26:05Z","timestamp":1787754365145,"version":"build-2784847793"},"reference-count":2,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Supplement_1_Part_1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,3]]},"abstract":"\n BACKGROUND:<\/jats:title>\n The failure of nonsurgical treatment of patients with midfoot and hindfoot deformity secondary to diabetic Charcot arthropathy may lead to a rocker-bottom foot deformity with recurrent or persistent plantar ulceration. We report our experience with realignment and extended fusion with primary use of a medial column screw for this midfoot deformity.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n From July 2001 through July 2005, we performed reconstructive surgery on fifteen adults with diabetes mellitus who had a severe neuropathic midfoot deformity consisting of a collapsed plantar arch with a rocker-bottom foot deformity. Thirteen had a nonhealing midfoot plantar ulcer. All underwent realignment and arthrodesis with a medial column screw; some required additional fixation techniques depending on the extent of the deformity. Outcome measures included ulcer and surgical wound-healing, radiographic results, complications, and the need for amputation.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n The mean duration of clinical follow-up was forty-two months. Fourteen patients were able to walk, and there were no recurrent plantar ulcers. Thirteen patients were able to wear custom-made extra-depth, wide-toed shoes with molded inserts. One patient without prior ulceration had development of a deep infection that necessitated an amputation. Four feet had a nonunion, one of which was symptomatic requiring a revision to obtain union.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n Surgical reconstruction of a collapsed neuropathic foot deformity is technically demanding, but a successful outcome can result in a plantigrade foot that is free of ulceration and abnormal pressure points and a patient who is able to walk. The procedure described has an acceptable degree of complications although it has a high rate of nonunion.<\/jats:p>\n <\/jats:sec>\n \n LEVEL OF EVIDENCE:<\/jats:title>\n \n Therapeutic\n Level IV<\/jats:underline>\n . See Instructions to Authors for a complete description of levels of evidence.\n <\/jats:p>\n <\/jats:sec>\n \n ORIGINAL ABSTRACT CITATION:<\/jats:title>\n \u201cRealignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy\u201d (2009;91:812-20).<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.i.01288","type":"journal-article","created":{"date-parts":[[2010,3,1]],"date-time":"2010-03-01T15:16:08Z","timestamp":1267456568000},"page":"20-31","source":"Crossref","is-referenced-by-count":25,"title":["Realignment and Extended Fusion with Use of a Medial Column Screw for Midfoot Deformities Secondary to Diabetic Neuropathy"],"prefix":"10.2106","volume":"92","author":[{"given":"Mathieu","family":"Assal","sequence":"first","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologie de l'Appareil Moteur, H\u00f4pitaux Universitaires de Gen\u00e8ve, 24 rue Micheli-du-Crest, 1211 Gen\u00e8ve 14, Switzerland. E-mail address for R. Stern: richard."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrien","family":"Ray","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologie de l'Appareil Moteur, H\u00f4pitaux Universitaires de Gen\u00e8ve, 24 rue Micheli-du-Crest, 1211 Gen\u00e8ve 14, Switzerland. E-mail address for R. Stern: richard."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Stern","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologie de l'Appareil Moteur, H\u00f4pitaux Universitaires de Gen\u00e8ve, 24 rue Micheli-du-Crest, 1211 Gen\u00e8ve 14, Switzerland. E-mail address for R. Stern: richard."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230714","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/S0958259202000706","article-title":"Surgical reconstruction of the neuropathic foot","volume":"12","year":"2002","journal-title":"The Foot"},{"key":"bib2-20230714","doi-asserted-by":"crossref","first-page":"80","DOI":"10.2106\/JBJS.G.01629","article-title":"Midtarsal arthrodesis in the treatment of Charcot midfoot arthropathy","volume":"91","year":"2009","journal-title":"J Bone Joint Surg Am."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201003001-00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:26:27Z","timestamp":1787750787000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201003001-00002"}},"subtitle":["Surgical Technique"],"short-title":[],"issued":{"date-parts":[[2010,3]]},"references-count":2,"journal-issue":{"issue":"Supplement_1_Part_1","published-print":{"date-parts":[[2010]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.i.01288","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,3]]}}}