Surgical Management of Charcot Deformity for the Foot and Ankle—Radiologic Outcome After Internal/External Fixation

Ettinger, Sarah; Plaaß, Christian; Claaßen, Leif; Yao, Daiwei; Daniilidis, Kiriakos

doi:10.1053/j.jfas.2015.12.008

Cited by 27 publications

(28 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The study of Ettinger et al 15 was the only study where patients' infection status dictated the use of one method over the other (all patients with infected and noninfected ulcers were treated with EF while all others with IMN). Therefore, a subgroup analysis excluding this study was conducted for the following outcomes: hardware infection, wound infection, and amputation rate.…”

Section: Resultsmentioning

confidence: 99%

“…To add, postoperative wound infection was significantly higher following EF, when analyses were conducted with and without Ettinger et al's study. 15 Although not significant, the difference found in the needed time for healing could have been compromised by the complete lack of such outcome reporting in one study 7 and the partial missing data in another one. 16 Another limitation is the lack of reported correlations with other relevant variables which might have impacted the outcomes.…”

Section: Checklistmentioning

confidence: 95%

“…Shah and De 16 Ettinger et al 15 ElAlfy et al 9 Richman et al 7 Were the groups comparable other than the presence of disease in cases or the absence of disease in controls? than that following EF.…”

Section: Checklistmentioning

confidence: 99%

See 2 more Smart Citations

Intramedullary nail versus external fixator for ankle arthrodesis in Charcot neuroarthropathy: A meta-analysis of comparative studies

Yammine

Assi

2019

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Purpose: Ankle Charcot neuroarthropathy presents a great challenge for treatment. While conservative treatments yield poor results, arthrodesis is considered the treatment of choice for unstable Charcot ankles. There are two methods used for ankle fusion: retrograde intramedullary nail (IMN) and external fixator (EF). Literature reports inconclusive results on which method is better for arthrodesis. Methods: The aim of this meta-analysis is to look for significant difference between the two techniques in terms of fusion rate and complications. Four comparative studies including 117 patients (117 interventions) were located and analyzed. Results: IMN was found to yield double fusion rate than EF (p ¼ 0.2) with 5 weeks less time to heal (p ¼ 0.4). While no significance was noted for revision surgery and amputation rates, EF yielded higher rates of hardware infection (p ¼ 0.01) and wound infection (p ¼ 0.01). The IMN method seems to offer quicker and better fusion rate when compared to EF with significantly lower postoperative infection rates. Conclusion: In the clinical context of high-risk patients such as the diabetic population, IMN technique could be a better option in the case of ulcer-free ankles/feet or in the presence of medial/lateral ulcers. In case of presence of plantar ulcers, EF might be a better choice to avoid the plantar approach for nail insertion. Future research with bigger sample sized and randomized studies are warranted for validation.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Checklistmentioning

confidence: 95%

See 1 more Smart Citation

Intramedullary nail versus external fixator for ankle arthrodesis in Charcot neuroarthropathy: A meta-analysis of comparative studies

Yammine

Assi

2019

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…(2016) провел анализ результатов лечения 58 пациентов, из которых у 39 был выполнен пяточно-большеберцовый артродез с внутренней фиксацией и у 19 -с наружной фиксацией; период наблюдения составил 31,3 месяца: различий в результатах лечения авторы не выявили. Трем пациентам была произведена ампутация, у всех остальных потребовались повторные вмешательства [42].…”

Section: Discussionunclassified

“…Хирургическая реконструкция стопы Шарко сопровождается высоким уровнем инфекционных и неинфекционных осложнений, однако эта тактика позволяет сохранить до 90,0 % пораженных конечностей [6]. Внутренняя фиксация показана в случаях отсутствия признаков изъязвления или инфекции [42].…”

Section: таблица 2 обзор литературных данных о количестве осложненийunclassified

Tibiocalcameal arthrodesis as a surgical option for Charcot ankle deformity

Оболенский

Процко

2019

Wounds and wound infections. The prof. B.M. Kostyuchenok journa

View full text Add to dashboard Cite

Object. To assess the effectivity and safety of different tibiocalcaneal arthrodesis types in treatment of patients with Charcot ankle deformity depending on disease severity. Materials and methods. We have analyzed the outcomes after treatment of 16 patients with diabetic neuropathic ankle arthropathy (Charcot ankle) at the stage of septic complications in bones of ankle and subtalar joints. The observation period was more than 1 [1–3] year. Ilizarov fixator for TCA was used in 8 cases; internal fixation with cannulated screws was applied in 8 cases.Results. In the early periods (up to 1 month from the operation) no complications were revealed. Complications in later terms developed in 4 patients: three with internal fixation and one with external.Conclusion. In our opinion, when choosing foot fixation tactics for heel-tibial arthrodesis, risk groups should be considered stage D according to Rogers classification and stage 3 according to Wagner classification, and after resection of bones in these patients external fixation is preferable. In the remaining stages, internal fixation is advisable because of the patient's higher quality of life and shortening of the rehabilitation period.

show abstract

Mid-term walking ability after Charcot foot reconstruction using the Ilizarov ring fixator

Wirth

Viehöfer

Tondelli

et al. 2020

Arch Orthop Trauma Surg

View full text Add to dashboard Cite

Surgical Management of Charcot Deformity for the Foot and Ankle—Radiologic Outcome After Internal/External Fixation

Cited by 27 publications

References 17 publications

Intramedullary nail versus external fixator for ankle arthrodesis in Charcot neuroarthropathy: A meta-analysis of comparative studies

Intramedullary nail versus external fixator for ankle arthrodesis in Charcot neuroarthropathy: A meta-analysis of comparative studies

Tibiocalcameal arthrodesis as a surgical option for Charcot ankle deformity

Mid-term walking ability after Charcot foot reconstruction using the Ilizarov ring fixator

Contact Info

Product

Resources

About