Management of Osteomyelitis and Bone Loss in the Diabetic Charcot Foot and Ankle

Short, Daniel J.; Zgonis, Thomas

doi:10.1016/j.cpm.2017.02.008

Cited by 14 publications

(5 citation statements)

References 18 publications

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“…39 Patient-specific systemic factors such as osteoporosis, obesity, diabetes mellitus, smoking, alcohol, and sensory neuropathy are additional risk factors for nonunion of the ankle arthrodesis. 40,41 Local factors such as infection and poor vascularity as well as critical soft tissues (such as wound healing disturbances, severe swelling, soft tissue inflammation/cellulitis, or a bad foot and ankle soft tissue envelope 7,9 ) are further risk factors. 13,41 In our study, both cohorts contained patients with fistulas or abscesses and cellulitis.…”

Section: Discussionmentioning

confidence: 99%

Treatment of hindfoot and ankle infections with Ilizarov external fixator or spacer, followed by secondary arthrodesis

Hartmann

Grubhofer

Waibel

et al. 2020

Journal Orthopaedic Research

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An established treatment strategy in surgical site infection after hindfoot and ankle surgery is a two-stage procedure with debridement and placement of a cement spacer, followed by antibiotic treatment and secondary arthrodesis. However, there is little evidence to favor this treatment over a one-stage procedure with debridement, followed by primary arthrodesis with an Ilizarov external fixator and antibiotic treatment. We compared the infection control and clinical and radiological outcome of a two-stage and a one-stage procedure. In this study, 7 patients with a two-stage revision and 11 patients with a one-stage revision between 2005 and 2015 were included. The primary outcome was infection control (absence of the Musculoskeletal Infection Society PJI criteria) 2 years after the ankle or hindfoot arthrodesis. Secondary outcome measures were the AOFAS hindfoot score and radiological consolidation rate. Infection control was 85% (6 out of 7 patients) in the two-stage group and 81% (9 out of 11 patients) in the one-stage group (p = 1.0). One patient (14%) of the two-stage and two patients (18%) in the one-stage group needed below-knee amputation. In the two-stage group, the mean postoperative AOFAS score was 74.8 (SD: ±11.3) versus 71.7 (SD: ±17.8) in the one-stage group.Radiological consolidation could be achieved in 71% in the spacer group (n = 5) and in 72% in the Ilizarov external fixator group (n = 9). Infection control, AOFAS score, and radiologic consolidation of hindfoot and ankle arthrodesis were comparable in both groups of patients with complicated postsurgical hindfoot or ankle infections.

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Section: Discussionmentioning

confidence: 99%

Treatment of hindfoot and ankle infections with Ilizarov external fixator or spacer, followed by secondary arthrodesis

Hartmann

Grubhofer

Waibel

et al. 2020

Journal Orthopaedic Research

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“…Ein Charcot Fuß präsentiert sich in der akuten Phase als rot, geschwollen und überwärmt. Es besteht eine mehr oder weniger ausgeprägte Fußdeformität durch das Auftreten von Spontanfrakturen [ 97 , 98 ]. Zehn bis fünfzehn Prozent der Betroffenen klagen über Schmerzen.…”

Section: Therapieunclassified

Diabetische Neuropathie und diabetischer Fuß (Update 2023)

Köhler

Eichner

Abrahamian³

et al. 2023

Wien Klin Wochenschr

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ZusammenfassungDer Begriff der diabetischen Neuropathie ist eine Sammelbezeichnung für Erkrankungen des peripheren Nervensystems die als Spätkomplikation des Diabetes mellitus auftreten.Die Leitlinienempfehlungen beschreiben die klinischen Symptome und diagnostischen Möglichkeiten, sowie die Therapiemaßnahmen insbesondere bei der schmerzhaften Form der sensomotorischen Neuropathie, einschließlich der komplexen Problematik des diabetischen Fußes.

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“…Charcot arthropathy of the ankle often occurs with severe bone loss. 1,2 Some treatment options for filling bone loss are iliac crest autografts, distal fibula autografts, femoral head allografts, bone cement, and metallic spacers. 3 Trabecular metal (TM 1 ) ankle spacers are metallic spacers that are often used in salvage surgery after total ankle arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Hindfoot arthrodesis with a trabecular metal ankle fusion spacer and retrograde nail in charcot arthropathy of the ankle: A case report

Kamei¹

2022

Foot & Ankle Surgery: Techniques, Reports & Cases

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Management of Osteomyelitis and Bone Loss in the Diabetic Charcot Foot and Ankle

Cited by 14 publications

References 18 publications

Treatment of hindfoot and ankle infections with Ilizarov external fixator or spacer, followed by secondary arthrodesis

Treatment of hindfoot and ankle infections with Ilizarov external fixator or spacer, followed by secondary arthrodesis

Diabetische Neuropathie und diabetischer Fuß (Update 2023)

Hindfoot arthrodesis with a trabecular metal ankle fusion spacer and retrograde nail in charcot arthropathy of the ankle: A case report

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