Abstract:
BACKGROUND:The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. METHODS:Ten patients (ages 50 to 69 years) with Charcot neuroarthropathy of the ankle, hindfoot, or both had arthrodesis with use of rigid internal fixation and an implantable bone growth stimulator. There were six tibiotalocalcaneal, two pantalar, and two tibiocalcaneal arthrodeses. An intramedullary nail was used in nine patients and a blade plate was used in one patient. All but one patient was diabetic. Four of the ten patients had preoperative osteomyelitis or postoperative infection. Another patient had purulent drainage, although cultures were negative. Four patients had a preoperative ulceration. Five patients had a two-stage procedure for debridement of infected bone, removal of hardware, and placement of antibiotic beads. Autogenous bone graft from the distal fibula or proximal tibia was used in all patients. RESULTS:One patient with a preoperative osteomyelitis developed a stable ankle pseudarthrosis. The other nine patients fused at an average of 3.7 months after surgery for a fusion rate of 90%. There were two major complications and eight minor complications. There were no amputations. All patients were ambulatory in a double upright brace or shoes for diabetic patients and were free of ulceration at the time of followup. Average American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score improved from 21 preoperatively to 59 postoperatively. CONCLUSIONS:The adjunctive use of an implantable bone growth stimulator in conjunction with rigid internal fixation, autogenous bone grafting, and sound operative technique may enhance the outcome and fusion rate in patients undergoing arthrodesis for Charcot neuroarthropathy of the ankle and hindfoot.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Hockenbury RT,Gruttadauria M,McKinney Idoi
10.3113/FAI.2007.0971subject
Has Abstractpub_date
2007-09-01 00:00:00pages
971-6issue
9eissn
1071-1007issn
1944-7876pii
961003journal_volume
28pub_type
杂志文章abstract:BACKGROUND:Crush injuries to the foot are a common workplace injury and a significant source of morbidity, disability and lost wages. Many regulatory bodies including the Occupational Safety and Health Administration (OSHA) recommend the use of safety shoes in certain occupations to help protect against these occupatio...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:The timing and strategy for operative treatment of flatfoot are still controversial. The purpose of this study was to evaluate clinical outcomes and radiographic changes following calcaneal Z osteotomy combined with subtalar arthroereisis for severe adolescent flexible flatfoot. METHODS:Data were analyzed f...
journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
pub_type: 杂志文章,评审
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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更新日期:2012-12-01 00:00:00
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journal_title:Foot & ankle international
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pub_type: 杂志文章,评审
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更新日期:2008-07-01 00:00:00
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更新日期:2019-12-01 00:00:00