Outcomes of Hindfoot and Ankle Arthrodesis in Patients with Charcot Neuroarthropathy
- 作者: Vinogradov V.A.1, Osnach S.A.2, Protsko V.G.1,2, Obolenskiy V.N.3,4, Tamoev S.K.2, Kuznetsov V.V.2, Zagorodniy N.V.1, Makinyan L.G.1,3
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隶属关系:
- Peoples’ Friendship University of Russia named after Patrice Lumumba
- Yudin City Clinical Hospital
- Branch no 1 Demikhov City Clinical Hospital
- Pirogov Russian National Research Medical University
- 期: 卷 31, 编号 2 (2025)
- 页面: 67-76
- 栏目: Clinical studies
- URL: https://journal-vniispk.ru/2311-2905/article/view/314135
- DOI: https://doi.org/10.17816/2311-2905-17658
- ID: 314135
如何引用文章
详细
Background. Involvement of the hindfoot and ankle in diabetic Charcot neuroarthropathy is often associated with subtotal or total defects of the talus, leading to unstable multiplanar deformities and a significant loss of weight-bearing capacity in the affected limb. Numerous arthrodesis techniques and fixation methods have been developed; however, in most cases, the final choice of surgical treatment depends on the surgeon’s preference.
The aim of the study — to evaluate the outcomes of the surgical treatment of patients with hindfoot and ankle deformities due to Charcot neuroarthropathy who underwent arthrodesis using various fixation methods.
Methods. A retrospective analysis was conducted on 96 patients (97 feet) with Charcot neuroarthropathy affecting the hindfoot. Of these, 28 patients had type 1 diabetes, and 53 had type 2 diabetes. The average follow-up period was 21.0±1.0 months. Arthrodesis with the Ilizarov external fixator was performed in 86 (88.7%) cases, and internal fixation using screws, plates, or intramedullary nails was used in 11 (11.3%) cases.
Results. Bony ankylosis and fusion were achieved in 95 (98.0%) cases, including 85 (98.8%) out of 86 cases with external fixation and 10 (90.9%) out of 11 cases with internal fixation. Due to noncompliance with weight-bearing protocols, revision arthrodesis was required in 9 (9.3%) cases at different stages of treatment and rehabilitation. Septic complications occurred in 20 (20.6%) cases at various treatment stages.
Conclusions. High rates of bony ankylosis formation were achieved with both external and internal fixation methods. However, external fixation proved to be a more reliable treatment option for patients with Charcot neuroarthropathy, given the typical characteristics of this cohort of patients, including poor skin condition, high BMI, reduced compliance, and challenges in adhering to fixation and weight-bearing regimens.
作者简介
Vladimir Vinogradov
Peoples’ Friendship University of Russia named after Patrice Lumumba
编辑信件的主要联系方式.
Email: vovavin15@gmail.com
ORCID iD: 0000-0001-5228-5130
SPIN 代码: 4763-0050
俄罗斯联邦, Moscow
Stanislav Osnach
Yudin City Clinical Hospital
Email: stas-osnach@yandex.ru
ORCID iD: 0000-0003-4943-3440
SPIN 代码: 3977-0277
俄罗斯联邦, Moscow
Victor Protsko
Peoples’ Friendship University of Russia named after Patrice Lumumba; Yudin City Clinical Hospital
Email: 89035586679@mail.ru
ORCID iD: 0000-0002-5077-2186
SPIN 代码: 4628-7919
Dr. Sci. (Med.)
俄罗斯联邦, Moscow; MoscowVladimir Obolenskiy
Branch no 1 Demikhov City Clinical Hospital; Pirogov Russian National Research Medical University
Email: gkb13@mail.ru
ORCID iD: 0000-0003-1276-5484
SPIN 代码: 5843-2934
Cand. Sci. (Med.)
俄罗斯联邦, Moscow; MoscowSargon Tamoev
Yudin City Clinical Hospital
Email: sargonik@mail.ru
ORCID iD: 0000-0001-8748-0059
SPIN 代码: 2986-1390
Cand. Sci. (Med.)
俄罗斯联邦, MoscowVasiliy Kuznetsov
Yudin City Clinical Hospital
Email: vkuznecovniito@gmail.com
ORCID iD: 0000-0001-6287-8132
SPIN 代码: 6499-2760
Cand. Sci. (Med.)
俄罗斯联邦, MoscowNikolay Zagorodniy
Peoples’ Friendship University of Russia named after Patrice Lumumba
Email: zagorodny-nv@rudn.ru
ORCID iD: 0000-0002-6736-9772
SPIN 代码: 6889-8166
Dr. Sci. (Med.)
俄罗斯联邦, MoscowLevon Makinyan
Peoples’ Friendship University of Russia named after Patrice Lumumba; Branch no 1 Demikhov City Clinical Hospital
Email: dr.makinyan@gmail.com
ORCID iD: 0000-0002-8813-143X
SPIN 代码: 9279-2235
Cand. Sci. (Med.)
俄罗斯联邦, Moscow; Moscow参考
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