Successful Realignment Arthrodesis using a Superconstruct Technique and Adjuvant Denosumab in Severe Midfoot Charcot Neuroarthropathy:A Case Report
10.14193/jkfas.2026.30.1.38
- Author:
Inuk KIM
1
;
Yeo Kwon YOON
;
Seung Hwan HAN
;
Jin Woo LEE
;
Dong Woo SHIM
;
Kwang Hwan PARK
Author Information
1. Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea
- Publication Type:Case Report
- From:Journal of Korean Foot and Ankle Society
2026;30(1):38-42
- CountryRepublic of Korea
- Language:English
-
Abstract:
Severe midfoot Charcot neuroarthropathy (CN) presents a significant surgical challenge because of extensive bone loss and poor bone quality. This report presents the outcome of a case treated with realignment arthrodesis using a superconstruct technique, supplemented by the postoperative use of denosumab. A patient with Eichenholtz Stage III CN (Brodsky Type 1 and 2) underwent a single-stage surgical reconstruction. Postoperatively, denosumab was administered to enhance bone stability. The 1-year and 1-month follow-up showed that the severe deformity had been successfully corrected to a stable, plantigrade foot, confirmed by radiographic and clinical evaluation.This case suggests that a combined surgical approach using a superconstruct with adjuvant denosumab can be an effective treatment for severe midfoot CN.
