Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Deformity Correction
Midfoot Charcot Reconstruction with Superconstruct
A diabetic midfoot Charcot rebuilt with a rotationally stable superconstruct — beam screws extended into uninvolved joints, reinforced with a derotational plate.
Patient Age
43 Years
MECHANISM
Diabetic Charcot
PRESENTATION
Unstable Midfoot Collapse
APPROACH
Superconstruct, Beam Screws, Derotational Plate
01
Clinical Rationale
Charcot collapse demands fixation that extends well beyond the involved joints. Long beam screws formed the backbone of the construct, with a derotational plate added to solve the rotational instability that beams alone leave behind.
02
Surgical Approach
Reconstruction used a superconstruct with subtalar fusion, extending fixation into uninvolved joints with long 'beam' bolts. A derotational plate was added to overcome the rotational instability inherent to a beam-only construct.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Midfoot Charcot needs a superconstruct, fusing uninvolved joints alongside the involved ones.
#2
Long bolts — so-called beam screws — form the backbone of the construct.
#3
A superconstruct with beams alone is rotationally unstable.
#4
Adding a derotational plate yields the rotational stability the construct needs.
04
Clinical Care Points
RIGHT SIDE
- i) Superconstruct + subtalar fusion
ii) Long beam screws across joints
iii) Derotational plate added
iv) Rotationally stable fixation
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Midfoot Charcot Reconstruction with Superconstruct
A diabetic midfoot Charcot rebuilt with a rotationally stable superconstruct — beam screws extended into uninvolved joints, reinforced with a derotational plate.
A 43-year-old man with diabetes developed Charcot neuroarthropathy through the midfoot. Loss of protective sensation allowed the bones and joints to collapse progressively, threatening the shape and weight-bearing safety of the foot. Reconstruction was planned to restore a stable plantigrade platform before deformity and pressure led to further breakdown.
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