Mid-term results of hindfoot arthrodesis with a retrograde intra- medullary nail in 24 patients with diabetic Charcot neuroarthropathy

Authors

  • Onder Ismet Kiliçoglu Department of Orthopaedics and Traumatology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey
  • Mehmet Ersin Department of Orthopaedics and Traumatology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey
  • Mehmet Demirel Department of Orthopaedics and Traumatology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey
  • Mehmet Chodza Department of Orthopaedics and Traumatology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey
  • Fuat Bilgili Department of Orthopaedics and Traumatology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey

DOI:

https://doi.org/10.1080/17453674.2020.1746605

Abstract

Background and purpose — Hindfoot arthrodesis using retrograde intramedullary nailing assumes a critical role in limb salvage for patients with diabetic Charcot neuroarthropathy (CN). However, this procedure is compelling and fraught with complications in diabetic patients. We report the mid-term clinical and radiological outcomes of retrograde intramedullary nailing for severe foot and ankle deformity in patients with diabetic CN.

Patients and methods — Hindfoot arthrodesis was performed using a retrograde intramedullary nail in 24 patients (15 females) with diabetic Charcot foot. The mean age of the patients was 62 years (33–82); the mean follow-up was 45 months (24–70). The primary outcomes were rates of fusion, limb salvage, and complications.

Results — The overall fusion rate was 23/24, and none of the patients needed amputation. The rate of superficial wound infection was 4/24, and no deep infection or osteomyelitis was observed postoperatively.

Interpretation — For selected cases of diabetic CN with severe foot and ankle deformity, hindfoot arthrodesis using a retrograde intramedullary nail seems to be a good technique in achieving fusion, limb salvage, and avoidance of complications.

Downloads

Download data is not yet available.

Downloads

Published

2020-04-01

How to Cite

Kiliçoglu, O. I., Ersin, M. ., Demirel, M., Chodza, M. ., & Bilgili, F. . (2020). Mid-term results of hindfoot arthrodesis with a retrograde intra- medullary nail in 24 patients with diabetic Charcot neuroarthropathy. Acta Orthopaedica, 91(3), 336–340. https://doi.org/10.1080/17453674.2020.1746605