The results of arthrodesis of the ankle for leprotic neuroarthropathy.

Shibata, Taihoh; Tada, Koichi; Hashizume, C

doi:10.2106/00004623-199072050-00016

Cited by 201 publications

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“…4,[16][17][18] One negative aspect of retrograde intramedullary nailing for ankle arthrodesis is the necessity to fuse the subtalar joint along with the ankle joint. However, compression arthrodesis of the ankle has an adverse effect on subtalar movement.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7] However, methods such as compression arthrodesis and transfibular or anteromedial sliding graft arthrodesis have disadvantages that include the need for a long period of immobilization without bearing weight and a relatively high incidence of nonunion. 8 To overcome these problems, we have developed an intramedullary nail with fins shaped like longitudinal ridges.…”

Section: Introductionmentioning

confidence: 99%

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Follow-up study of ankle arthrodesis in severe hind foot deformity in patients with rheumatoid arthritis using an intramedullary nail with fins

et al. 2005

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We report herein a retrospective study of 25 cases of ankle arthrodesis performed in 23 patients with rheumatoid arthritis (RA) using an intramedullary nail with fins, developed in 1994. Surgical treatment, postoperative management, and clinical evaluation are described. Clinical evaluation, at an average follow-up period of 7 years 1 month, was based on foot disease scores from the Japanese Orthopedic Association; we compared these scores pre- and postoperatively, and during follow-up. These parameters showed a significant difference between preoperation and the follow-up period. However, instability only significantly improved when compared between pre- and postoperation. Arthrodesis using an intramedullary nail with fins was effective for the treatment of severe deformity of the hind foot. Nonunion was not observed and no remarkable changes of the Chopart joint were recognized between preoperation and the follow-up period. In our series, delayed wound healing was recognized in 6 of 25 joints. However, infection or neuropathy and other complications were not found. Arthrodesis using an intramedullary nail with fins is a viable treatment option for severe deformity of the hind foot in RA patients, because nonunion was not recognized and the clinical results over an average 7-year follow-up period were good or satisfactory.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Follow-up study of ankle arthrodesis in severe hind foot deformity in patients with rheumatoid arthritis using an intramedullary nail with fins

et al. 2005

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“…As such, in 1990 Shibata et al [21] added a fourth stage, Charcot foot Stage 0, to the conventional Eichenholtz classification ( Table 1). The addition of this prodromal stage has important therapeutic implications, because the immobilization and off-loading of feet with Stage 0 symptoms may prevent progression of skeletal destruction and deformity [13,16].…”

Section: Descriptionmentioning

confidence: 99%

Classifications in Brief: Eichenholtz Classification of Charcot Arthropathy

Rosenbaum

DiPreta

2015

Clinical Orthopaedics &Amp; Related Research

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“…В 1990 г. Shibata T. и соавт. предложили выделить стадию "0" в дополне-ние к стадиям Eichenholtz [16]. Существуют также и другие модификации классифика-ции Eichenholtz, как, например, предложен-ная Sella E.J.…”

Section: классификации диабетической нейроостеоартропатии используемunclassified

Diabetic neuroosteoarthropathy: the modern approaches for diagnosis and immobilization period determination (review)

Kaminarskaya¹

2015

Endo Serg

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Диабетическая нейроостеоартропатия (ДНОАП) является редким, но тяжелым ос-ложнением диабетической полинейропатии. Это состояние, характеризующееся про-грессирующей деструкцией костей и суста-вов стопы, неизбежно приводит к выражен-ной деформации стоп. Причины развития ДНОАП не до конца ясны. Существуют убеди-тельные доказательства, что провоцирую-щим фактором ДНОАП является нераспоз-нанная травма, инфицированная язва или оперативное вмешательство на стопе. Распространенность ДНОАП среди пациен-тов с сахарным диабетом (СД), по данным разных авторов, составляет от 0,08 до 7,5%. (В некоторых работах были зафиксированы более высокие показатели распространен-ности ДНОАП: у 13% среди всех больных СД и у 29% пациентов с диабетической поли-нейропатией [1, 2]; однако эти цифры вызы-вают ряд вопросов, в том числе касающихся критериев постановки диагноза и формиро-вания выборки.)ДНОАП ассоциирована с высокой часто-той ампутаций и уровнем смертности. Согласно исследованию Pakarinen T.-K. и соавт., в котором был отслежен 41 пациент с острой ДНОАП, общая смертность соста- Endocrinology Research Centre, Moscow, Russian FederationДиабетическая нейроостеоартропатия -осложнение сахарного диабета, ассоциированное с высокой частотой ампутаций и уровнем смертности. Благодаря развитию методов диагностики сегодня стало возможным выявление диабетической нейроостеоартропатии на ранней рентген-негативной стадии. Лечение на данном этапе способно предотвратить развитие выраженной деструкции костного скелета стопы и формирование серьезных деформаций. Однако не существует единого подхода к диагностике рентген-негативной стадии диабетической нейро остео-артропатии. Также остается спорным вопрос о сроках иммобилизации пораженной конечности и методах определения завершения острой стадии диабетической нейроостеоартропатии. Данный обзор посвящен современному состоянию знаний о диагностике, классификации и критериях завершения активной стадии диабетической нейроостеоартропатии. Клю че вые сло ва: сахарный диабет, стопа Шарко, ранняя диагностика, МРТ.Diabetic neuroosteoarthropathy is complication of diabetes associated with high rates of amputations and mortality. The development of diagnostic methods may identify diabetic neuroosteoarthropathy at early X-ray negative stage before the development of radiographic changes. Treatment at this stage can prevent the development of progressive bone and joint deterioration. However, there is no unified approach to diagnose of X-ray negative stage. The timing of immobilization of the affected limb is still controversial among experts, and where is no objective methods for determining the completion of the acute stage of diabetic neuroosteoarthropathy. This review focuses on the current state of knowledge about the diagnosis, classification and criteria for completion of the active phase of diabetic neuroosteoarthropathy.

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The results of arthrodesis of the ankle for leprotic neuroarthropathy.

Cited by 201 publications

References 0 publications

Follow-up study of ankle arthrodesis in severe hind foot deformity in patients with rheumatoid arthritis using an intramedullary nail with fins

Follow-up study of ankle arthrodesis in severe hind foot deformity in patients with rheumatoid arthritis using an intramedullary nail with fins

Classifications in Brief: Eichenholtz Classification of Charcot Arthropathy

Diabetic neuroosteoarthropathy: the modern approaches for diagnosis and immobilization period determination (review)

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