{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T19:44:54Z","timestamp":1768419894947,"version":"3.49.0"},"reference-count":0,"publisher":"MDPI AG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Charcot neuroarthropathy (CN) of the hindfoot or ankle often results in important deformity, instability, chronical ulceration and infection that, without adequate treatment, could lead to trans-tibial amputation. Several surgical procedures for the reconstruction of hindfoot- and ankle CN deformities have been described in literature. Their main disadvantage is the extensive soft tissue dissection, which could lead to infection, necrosis and implant failure.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    We introduce a novel technique of minimally invasive surgery (MIS) for correction of CN deformities, followed by retrograde intramedullary nailing of the hindfoot for stabilization. This retrospective limited case-series reports the outcome of 5 patients (3 women, 2 men, 5 feet) with unstable hindfoot Charcot deformities and neuropathic ulcers who underwent MIS.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Mean age was 54.5 years ; the median American Society of Anesthesiologists score was 3. Three patients underwent a single-stage procedure and two patients underwent a two-stage treatment. No postoperative infections occurred. Healing of ulcerations was achieved at average of 5 weeks. Hindfoot angle improved from 33.6 to 6.2 degrees (p&lt;.05). At a mean follow-up of 20.6 months, limb preservation was achieved for all patients. There was no failure of correction or fixation. The mean American Orthopedic Foot &amp; Ankle Society (AOFAS) score improved from 45.0 to 79.8 (p&lt;.05). The mean Euroqol EQ-5D-5L score improved from 0.23 to 0.82 (p&lt;.05).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    This proof-of-concept shows that MIS of CN hindfoot and ankle deformities can be a safe and efficient procedure, providing short-term healing of neuropathic ulcers and long-term improvement of function and quality of life.\n                  <\/jats:p>","DOI":"10.7547\/24-024","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T16:26:58Z","timestamp":1753806418000},"page":"1-30","source":"Crossref","is-referenced-by-count":0,"title":["Minimally Invasive Surgical Correction of Hindfoot and Ankle Deformities in Charcot Neuroarthropathy: A Proof-of-Concept in Five Patients"],"prefix":"10.3390","author":[{"given":"Mathieu M.","family":"Gevers","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Traumatology, Onze-Lieve-Vrouw Ziekenhuis (O.L.V.), Aalst, Belgium"},{"name":"Department of Orthopedic Surgery and Traumatology, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (V.U.B.) Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxim K.","family":"Gevers","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Traumatology, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (V.U.B.) Brussels, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Nobels","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes, Onze-Lieve-Vrouw Ziekenhuis (O.L.V.) Aalst, Belgium"},{"name":"Multidisciplinary Diabetes Foot Clinic, Onze-Lieve-Vrouw Ziekenhuis (O.L.V.) Aalst, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wahid","family":"Rezaie","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Traumatology, Onze-Lieve-Vrouw Ziekenhuis (O.L.V.), Aalst, Belgium"},{"name":"Multidisciplinary Diabetes Foot Clinic, Onze-Lieve-Vrouw Ziekenhuis (O.L.V.) Aalst, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/aop\/24-024\/24-024.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/aop\/24-024\/24-024.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/aop\/24-024\/24-024.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T11:13:10Z","timestamp":1768389190000},"score":1,"resource":{"primary":{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/aop\/24-024\/24-024.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,8]]},"references-count":0,"URL":"https:\/\/doi.org\/10.7547\/24-024","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,8]]}}}