{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:26Z","timestamp":1783509326986,"version":"3.55.0"},"reference-count":14,"publisher":"MDPI AG","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Whether a sequela of neuropathy or a result of infectious processes to dysvascular changes, talar degeneration in the Charcot ankle proves difficult to treat. Total resection followed by bone void filler or grafts is costly, with varying levels of success. Although tibiocalcaneal fusion allows stabilization, this approach remains a procedure of last resort before amputation. This series presents outcomes of partial talectomy with tibiotalocalcaneal arthrodesis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Nineteen patients with Charcot\u2019s neuroarthropathy necessitating a tibiotalocalcaneal fusion were included in this study. Tibiotalocalcaneal arthrodesis was performed using a partial talectomy with a combination of internal with and without external fixation constructs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Among this cohort of 19 patients followed up for a mean \u00b1 SD of 22.0 \u00b1 14.8 months, 21% had osteomyelitis of the talus, and 32% presented with a wound at the time of surgery. Successful primary tibiotalocalcaneal arthrodesis with a partial talectomy was reached in 79% of patients. Of patients necessitating revision, two continued with a tibiotalocalcaneal arthrodesis, and the remaining two reverted to a tibiocalcaneal arthrodesis. No patients experienced a major amputation.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Unstable ankle Charcot\u2019s deformity with osseous degeneration poses a serious threat of limb loss without surgical reconstruction. Total talectomy allows complete resection of nonviable bone; however, this irreversible approach removes possibly viable native tissue. Partial talectomy proves an effective option by minimizing osseous resection, allowing primary arthrodesis between autogenous osseous segments. Moreover, in patients with failed partial talectomy, conversion to tibiocalcaneal arthrodesis proved viable. Before total removal of native bone, partial talectomy should be considered.\n                  <\/jats:p>","DOI":"10.7547\/23-119","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:37:24Z","timestamp":1761745044000},"source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Tibiotalocalcaneal Fusion After Partial Talectomy in the Charcot Ankle"],"prefix":"10.3390","volume":"115","author":[{"given":"Dominick","family":"Casciato","sequence":"first","affiliation":[{"name":"University of Maryland Medical Center, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shehryar","family":"Raja","sequence":"additional","affiliation":[{"name":"Baltimore VA Medical Center, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korey","family":"DuBois","sequence":"additional","affiliation":[{"name":"Brandywine Podiatry, Wilmington, DE."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Wynes","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center, Baltimore, MD."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"J Foot Ankle Res","first-page":"16","article-title":"Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer","volume":"13","author":"Armstrong DG","year":"2020","unstructured":"Armstrong DG, Swerdlow MA, Armstrong AA, et al: Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer. J Foot Ankle Res 13: 16, 2020."},{"key":"B2","series-title":"Foot Ankle Clin","first-page":"293","article-title":"Treatment of ankle and hindfoot Charcot arthropathy","volume":"25","author":"Pinzur MS","year":"2020","unstructured":"Pinzur MS: Treatment of ankle and hindfoot Charcot arthropathy. Foot Ankle Clin 25: 293, 2020."},{"key":"B3","series-title":"J Foot Ankle Surg","first-page":"731","article-title":"Progression to hindfoot Charcot neuroarthropathy after midfoot Charcot correction in patients with and without subtalar joint arthrodesis","volume":"62","author":"Mateen S","year":"2023","unstructured":"Mateen S, Thomas MA, Jappar A, et al: Progression to hindfoot Charcot neuroarthropathy after midfoot Charcot correction in patients with and without subtalar joint arthrodesis. 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Acta Orthop Traumatol Turc 54: 255, 2020."},{"key":"B8","series-title":"Indian J Orthop","first-page":"14","article-title":"Outcomes of tibiocalcaneal arthrodesis in high-risk patients: an institutional cohort of 18 patients","volume":"54","author":"Love B","year":"2020","unstructured":"Love B, Alexander B, Ray J, et al: Outcomes of tibiocalcaneal arthrodesis in high-risk patients: an institutional cohort of 18 patients. Indian J Orthop 54: 14, 2020."},{"key":"B9","series-title":"J Foot Ankle Surg","first-page":"377","article-title":"Radiodensity analysis of lateral column superconstruct fixation sites in midfoot Charcot neuroarthropathy","volume":"62","author":"Casciato DJ","year":"2023","unstructured":"Casciato DJ, Stone R, Thompson J, et al: Radiodensity analysis of lateral column superconstruct fixation sites in midfoot Charcot neuroarthropathy. J Foot Ankle Surg 62: 377, 2023."},{"key":"B10","series-title":"J Foot Ankle Surg","first-page":"1076","article-title":"Radiodensity analysis of medial column superconstruct fixation sites in midfoot Charcot neuroarthropathy","volume":"61","author":"Casciato DJ","year":"2022","unstructured":"Casciato DJ, Stone R, Thompson J, et al: Radiodensity analysis of medial column superconstruct fixation sites in midfoot Charcot neuroarthropathy. J Foot Ankle Surg 61: 1076, 2022."},{"key":"B11","series-title":"Front Surg","first-page":"862133","article-title":"Functional outcomes of tibiotalocalcaneal arthrodesis using a hindfoot arthrodesis nail in treating Charcot\u2019s arthropathy deformity","volume":"9","author":"Bajuri MY","year":"2022","unstructured":"Bajuri MY, Manas AM, Zamri KS: Functional outcomes of tibiotalocalcaneal arthrodesis using a hindfoot arthrodesis nail in treating Charcot\u2019s arthropathy deformity. Front Surg 9: 862133, 2022."},{"key":"B12","series-title":"Foot","first-page":"101833","article-title":"Functional outcome in patients with Charcot neuropathy with almost complete loss of talus treated by tibio-talo calcaneal nail: a cross-sectional study","volume":"49","author":"Moonot P","year":"2021","unstructured":"Moonot P, Sharma G, Kadakia A: Functional outcome in patients with Charcot neuropathy with almost complete loss of talus treated by tibio-talo calcaneal nail: a cross-sectional study. Foot 49: 101833, 2021."},{"key":"B13","series-title":"J Foot Ankle Surg","first-page":"465","article-title":"Change in height following tibiotalocalcaneal arthrodesis: retrospective radiographic analysis","volume":"62","author":"Vesely BD","year":"2023","unstructured":"Vesely BD, LeSavage LK, King MA, et al: Change in height following tibiotalocalcaneal arthrodesis: retrospective radiographic analysis. J Foot Ankle Surg 62: 465, 2023."},{"key":"B14","series-title":"J Foot Ankle Surg","first-page":"1167","article-title":"Comparison of 3D printed spherical implants versus femoral head allografts for tibiotalocalcaneal arthrodesis","volume":"59","author":"Steele JR","year":"2020","unstructured":"Steele JR, Kadakia RJ, Cunningham DJ, et al: Comparison of 3D printed spherical implants versus femoral head allografts for tibiotalocalcaneal arthrodesis. J Foot Ankle Surg 59: 1167, 2020."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/115\/5\/23-119.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/5\/23-119.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/5\/23-119.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:20:19Z","timestamp":1783506019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/115\/5\/23119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":14,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.7547\/23-119","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}