Tips, Quips, and PearlsA Novel Combination of Printed 3-Dimensional Anatomic Templates and Computer-assisted Surgical Simulation for Virtual Preoperative Planning in Charcot Foot Reconstruction
Section snippets
Data Acquisition and Processing
Before surgery, clinical and standard radiographic evaluations revealed midfoot collapse and deformity (Fig. 1, Fig. 2). Computed tomographic (CT) scans, averaging 1-mm-thick slices, of the patient's involved foot were also obtained (Fig. 3). The digital information (Digital Imaging and Communications in Medicine [DICOMSM]) service–marked technology managed by Medical Imaging and Technology Alliance (MITA), a division of National Electrical Manufacturers Association (NEMA®, Rosslyn, VA),
Discussion
Charcot foot reconstruction remains a challenging surgical adventure, with many operative and postoperative uncertainties. Although improvements in surgical technology, sophisticated fixation hardware, and surgical experience are all thought to contribute to improved surgical outcomes, Charcot neuroarthropathy is still considered by many foot and ankle surgeons to be wrought with morbidity (poor bone stock, obesity, edema, insensitivity) and complications (fracture, osteomyelitis, fixation
Acknowledgments
We give special thanks to Kristian Spivey and the DeKalb Medical Department of Radiology for taking time out of their busy schedule to accommodate and assist us.
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Financial Disclosure: None reported.
Conflict of Interest: None reported.