Late Corrective Arthrodesis in Nonplantigrade Diabetic Charcot Midfoot Disease Is Associated with High Complication and Reoperation Rates
Joint Authors
Mittlmeier, Thomas
Gradl, Georg
Wussow, Annekatrin
Eschler, Anica
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-27
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Charcot arthropathy may lead to a loss of osteoligamentous foot architecture and consequently loss of the plantigrade alignment.
In this series of patients a technique of internal corrective arthrodesis with maximum fixation strength was provided in order to lower complication rates.
Materials/Methods.
21 feet with severe nonplantigrade diabetic Charcot deformity Eichenholtz stages II/III (Sanders/Frykberg II/III/IV) and reconstructive arthrodesis with medial and additional lateral column support were retrospectively enrolled.
Follow-up averaged 4.0 years and included a clinical (AOFAS score/PSS), radiological, and complication analysis.
Results.
A mean of 2.4 complications/foot occurred, of which 1.5/foot had to be solved surgically.
76% of feet suffered from soft tissue complications; 43% suffered hardware-associated complications.
Feet with only 2 out of 5 high risk criteria according to Pinzur showed significantly lower complication counts.
Radiographs revealed a correct restoration of all foot axes postoperatively with superior fixation strength medially.
Conclusion.
Late corrective arthrodesis with medial and lateral column stabilization in the nonplantigrade stages of neuroosteoarthropathy can provide reasonable reconstruction of the foot alignment.
Nonetheless, overall complication/reoperation rates were high.
With separation into low/high risk criteria a helpful guide in treatment choice is provided.
This trial is registered with German Clinical Trials Register (DRKS) under number DRKS00007537.
American Psychological Association (APA)
Eschler, Anica& Gradl, Georg& Wussow, Annekatrin& Mittlmeier, Thomas. 2015. Late Corrective Arthrodesis in Nonplantigrade Diabetic Charcot Midfoot Disease Is Associated with High Complication and Reoperation Rates. Journal of Diabetes Research،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1067861
Modern Language Association (MLA)
Eschler, Anica…[et al.]. Late Corrective Arthrodesis in Nonplantigrade Diabetic Charcot Midfoot Disease Is Associated with High Complication and Reoperation Rates. Journal of Diabetes Research No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1067861
American Medical Association (AMA)
Eschler, Anica& Gradl, Georg& Wussow, Annekatrin& Mittlmeier, Thomas. Late Corrective Arthrodesis in Nonplantigrade Diabetic Charcot Midfoot Disease Is Associated with High Complication and Reoperation Rates. Journal of Diabetes Research. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1067861
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1067861