In:
Foot & Ankle International, SAGE Publications, Vol. 31, No. 6 ( 2010-06), p. 511-516
Abstract:
Background: To prevent amputation, achieving successfull ankle artrodesis in diabetic Charcot arthropaty patients is very important. As a salvage procedure, we have used a 95-degree-angled blade plate via a posterior approach to achieve tibiocalcaneal arthrodesis. Materials and Methods: Between 2006 and 2008, four diabetic patients with hindfoot Charcot arthropathy underwent talectomy and tibiocalcaneal arthrodesis with an AO 95-degree-angled blade plate via a posterior approach. Two of the patients were male and two were female. The average age was 63 (range, 53 to 70) years. The mean duration of diabetes was 9 (range, 5 to 20) years. All the patients were on hemodialysis. Three of four patients had undergone previous surgeries. The average followup period was 24 (range, 12 to 35) months. Results: Clinical and radiographic fusion was present by 5 (range, 3 to 6) months in three of four patients. In the other patient, a stable fibrous ankylosis was achieved. Clinical outcomes were excellent in three patients, and good in one patient. Conclusion: The performance of tibiocalcaneal arthrodesis with the use of blade plate with a posterior approach was a safe and successful surgical method for the treatment of Charcot ankle. Level of Evidence: IV, Retrospective Case Series
Type of Medium:
Online Resource
ISSN:
1071-1007
,
1944-7876
DOI:
10.3113/FAI.2010.0511
Language:
English
Publisher:
SAGE Publications
Publication Date:
2010
detail.hit.zdb_id:
2129503-7
Bookmarklink