DOS 2018

216 · DOS Abstracts Mid- and hindfoot reconstruction of Charcot foot with super construct device. Johnny Froekjaer, Ellen Hamborg Petersen University Center for Ulcer Healing, Plastic Surgical Department, Odense University Hospital Background: Charcot foot reconstruction has been disappointing due to a high complication rate. Recently super construct implants have been available, in- cluding intramedullary screws and reconstruction plates. Surgical concept is complete fusion of medial and/or lateral column, to increase stability. Purpose / Aim of Study: The aim of this study is to present the results of 8 charcot foot patients treated with this concept. Materials and Methods: 8 patients with severe deformity due to charcot foot were operated from July 2017 to May 2018. All patients had a threatening pre ulcer situation or instability. Mean age was 59.5 years, 5 males and 3 females with a mean weight of 127 kg, mean BMI 38,9. Peripheral vascular supply was good in all cases. Patients were immobilized in a plaster cast mean 19.3 weeks, until acute inflammation had decreased and surgery was safe. Standard surgical technique with preparation of all joints was performed, in case of talocalcaneal joint instability this joint was also fused. Fusion of medial column was manda- tory, lateral column if required. A tourniquet was used in the first 4 cases, but was abandoned in the last cases. Findings / Results: Mean surgical time was 223 min. Medial fusion was per- formed in all cases, 2 cases as an isolated procedure. 4 cases had both medial and lateral column fusion. 2 cases had talocalcaneal and medial column fusion. Mean follow up time is 28.4 weeks. 2 patients in the tourniquet group had skin necrosis, one requiring removal of plate. 1 patient without tourniquet had skin necrosis. 2 patients are still in a plaster cast, 6 had healing of incision, had bone fusion and are ambulated in orthopedic shoes. We had no infections or amputa- tions. Conclusions: Results after charcot foot reconstruction with super construct device seems promissing. There is a learning curve and tourniquet should be abandoned. 157.