Surgical Arthrodesis of the Neuropathic Foot

Bono, James V.; Roger, Douglas J.; Jacobs, Richard L.

doi:10.1097/00003086-199311000-00004

Cited by 54 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To date, more than 30 arthrodesis techniques have been described.l'v'" Complications occur frequently and nonunion rates have been reported ranging from 0 to 40%. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]17,18,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][37][38][39][40][41][42][43]48 Other reasons for failure include chronic pain related to malunion, infection, osteoarthrosis of the hindfoot or remaining small joints in the foot, neurovascular injury, and painful incisions. 1 ,12 ,16 ,2 1 ,43 Little has been published on the outcome after reoperation for failed ankle arthrodesis.…”

Section: Introductionmentioning

confidence: 99%

Revision Ankle Fusion Using Internal Compression Arthrodesis with Screw Fixation

Anderson¹,

Coetzee

Hansen

1997

Foot Ankle Int.

View full text Add to dashboard Cite

We reviewed 20 revision ankle fusions performed using internal compression arthrodesis with screw fixation. Clinical, functional, and radiographic results were measured at an average follow-up of 30 months (range, 12-50 months). The reasons for the index procedures were nonunion in 11, malunion in 7, infected nonunion in 1, and nonunion associated with avascular necrosis of the talus in 1 case. Fusion occurred in 15 of 20 patients. Two additional patients obtained fusion after subsequent procedures, for a final union rate of 85%. The average time to fusion was 6 months (range, 2-32 months). Nineteen additional operations were necessary in 12 patients, including three amputations for chronic infection (two infected nonunions and one chronic osteomyelitis). All but one patient had a plantigrade limb at follow-up. Seventeen of 20 patients were satisfied with their ultimate outcome, including all three patients with amputations. The three dissatisfied patients were bothered by chronic pain. Revision ankle fusion for nonunion or malunion using internal compression arthrodesis with screw fixation is beneficial for most patients. It is a technically demanding procedure that is associated with a high complication rate. Many patients can be expected to have residual pain. We emphasize the need for accurate alignment and early, aggressive treatment of infectious complications. Amputation should be considered a viable option to improve functional outcome in patients with solid, well-aligned fusions who are disabled by severe chronic pain.

show abstract

Section: Introductionmentioning

confidence: 99%

Revision Ankle Fusion Using Internal Compression Arthrodesis with Screw Fixation

Anderson¹,

Coetzee

Hansen

1997

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…More recently, authors have advocated the idea of surgical intervention in these problem feet to protect the skin from ulceration. 1,3,9,14,18,19 Over the last 10 years we have had the opportunity to treat patients operatively for severe midfoot collapse. We present a retrospective review of the results to date.…”

Section: Introductionmentioning

confidence: 99%

Surgical Reconstruction of the Diabetic Foot: A Salvage Approach for Midfoot Collapse

1996

View full text Add to dashboard Cite

Between 1985 and 1993, 18 patients representing 21 feet underwent surgical reconstruction for diabetic neuroarthropathy with collapse of the midfoot. Forty-seven percent (10/21) of these feet presented with plantar pressure ulcers. Reconstruction involved reduction and fusion of collapsed joints, using internal fixation to restore foot shape and improve weightbearing alignment. The average follow-up in these patients was 28 months (range, 6-84 months). Limb salvage was obtained in 18 of 21 feet. Average time to radiographic union was 5 months (range, 3-9 months). Improvement in shoe fit and ambulatory status was noted for 13 of the 15 patients who had successful reconstruction. Forty-seven percent of the reviewed cases were without any complication throughout their postoperative course. Seventy percent of the presenting ulcers healed without incident. There were no recurrent midfoot ulcers.

show abstract

“…The reports published for the operative management of late stage Charcot neuroarthropathy are not recent and do not present an easily interpretable body of evidence to judge the utility of realignment and arthrodesis. 12,21,25,51,63 Many of the studies are over 10 years old. The indications for surgery were not clear or uniform among the studies.…”

Section: Pinzurmentioning

confidence: 99%

Current Concepts Review: Charcot Arthropathy of the Foot and Ankle

Pinzur¹

2007

Foot Ankle Int.

View full text Add to dashboard Cite

For information on the cost and availability of reprints, call 210-494-4994 X226 Assessment questionnaire. 56 The goal of this current concepts review is to summarize our current understanding of this process named after the famous French neurologist and to examine the clinical and scientific evidence available to guide the management of this destructive and potentially devastating disorder of the foot and ankle.

show abstract

Surgical Arthrodesis of the Neuropathic Foot

Cited by 54 publications

References 0 publications

Revision Ankle Fusion Using Internal Compression Arthrodesis with Screw Fixation

Revision Ankle Fusion Using Internal Compression Arthrodesis with Screw Fixation

Surgical Reconstruction of the Diabetic Foot: A Salvage Approach for Midfoot Collapse

Current Concepts Review: Charcot Arthropathy of the Foot and Ankle

Contact Info

Product

Resources

About