Tags

Type your tag names separated by a space and hit enter

Limb salvage in Charcot foot and ankle osteomyelitis: combined use single stage/double stage of arthrodesis and external fixation.
Foot Ankle Int. 2009 Nov; 30(11):1065-70.FA

Abstract

BACKGROUND

Charcot neuroarthropathy of the foot/ankle is a devastating complication of diabetes. Along with neuroarthropathy, osteomyelitis can occur which can result in amputation. This prospective study evaluated a limb salvage procedure as an alternative to amputation through surgical treatment of osteomyelitis of the midfoot or the ankle and stabilization with external fixation.

MATERIALS AND METHODS

Forty-five patients with Charcot arthropathy and osteomyelitis underwent debridement and attempted fusion with an external fixator. Chart and radiograph review was performed to assess the success of the fusion and eradication of infection.

RESULTS

Out of 45 patients, 39 patients healed using emergent surgery to drain an acute manifestation of the infection while maintaining the fixation for an average of 25.7 weeks. Two patients were treated with intramedullary nail in a subsequent surgical procedure. In four patients, the infection could not be controlled, therefore a major amputation was carried out.

CONCLUSION

For select patients, external fixation proved to be a reasonable alternative to below-knee amputation.

Links

Publisher Full Text

Authors+Show Affiliations

Dalla Paola L
ULSS 12 Veneziana, Ospedale dell'angelo, Diabetic Foot Unit, Venezia, Italy. ldallapaola@libero.it
Brocco E
No affiliation info available
Ceccacci T
No affiliation info available
Ninkovic S
No affiliation info available
Sorgentone S
No affiliation info available
Marinescu MG
No affiliation info available
Volpe A
No affiliation info available

MeSH

AgedAmputationAnkle JointArthrodesisArthropathy, NeurogenicDebridementDiabetic FootExternal FixatorsFemaleHumansLimb SalvageMaleMiddle AgedNegative-Pressure Wound TherapyOsteomyelitisTreatment Failure

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19912716

Citation

Dalla Paola, Luca, et al. "Limb Salvage in Charcot Foot and Ankle Osteomyelitis: Combined Use Single Stage/double Stage of Arthrodesis and External Fixation." Foot & Ankle International, vol. 30, no. 11, 2009, pp. 1065-70.
Dalla Paola L, Brocco E, Ceccacci T, et al. Limb salvage in Charcot foot and ankle osteomyelitis: combined use single stage/double stage of arthrodesis and external fixation. Foot Ankle Int. 2009;30(11):1065-70.
Dalla Paola, L., Brocco, E., Ceccacci, T., Ninkovic, S., Sorgentone, S., Marinescu, M. G., & Volpe, A. (2009). Limb salvage in Charcot foot and ankle osteomyelitis: combined use single stage/double stage of arthrodesis and external fixation. Foot & Ankle International, 30(11), 1065-70. https://doi.org/10.3113/FAI.2009.1065
Dalla Paola L, et al. Limb Salvage in Charcot Foot and Ankle Osteomyelitis: Combined Use Single Stage/double Stage of Arthrodesis and External Fixation. Foot Ankle Int. 2009;30(11):1065-70. PubMed PMID: 19912716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Limb salvage in Charcot foot and ankle osteomyelitis: combined use single stage/double stage of arthrodesis and external fixation. AU - Dalla Paola,Luca, AU - Brocco,Enrico, AU - Ceccacci,Tanja, AU - Ninkovic,Sasa, AU - Sorgentone,Sara, AU - Marinescu,Maria Grazia, AU - Volpe,Antonio, PY - 2009/11/17/entrez PY - 2009/11/17/pubmed PY - 2009/12/23/medline SP - 1065 EP - 70 JF - Foot & ankle international JO - Foot Ankle Int VL - 30 IS - 11 N2 - BACKGROUND: Charcot neuroarthropathy of the foot/ankle is a devastating complication of diabetes. Along with neuroarthropathy, osteomyelitis can occur which can result in amputation. This prospective study evaluated a limb salvage procedure as an alternative to amputation through surgical treatment of osteomyelitis of the midfoot or the ankle and stabilization with external fixation. MATERIALS AND METHODS: Forty-five patients with Charcot arthropathy and osteomyelitis underwent debridement and attempted fusion with an external fixator. Chart and radiograph review was performed to assess the success of the fusion and eradication of infection. RESULTS: Out of 45 patients, 39 patients healed using emergent surgery to drain an acute manifestation of the infection while maintaining the fixation for an average of 25.7 weeks. Two patients were treated with intramedullary nail in a subsequent surgical procedure. In four patients, the infection could not be controlled, therefore a major amputation was carried out. CONCLUSION: For select patients, external fixation proved to be a reasonable alternative to below-knee amputation. SN - 1071-1007 UR - https://www.unboundmedicine.com/medline/citation/19912716/Limb_salvage_in_Charcot_foot_and_ankle_osteomyelitis:_combined_use_single_stage/double_stage_of_arthrodesis_and_external_fixation_ L2 - https://journals.sagepub.com/doi/10.3113/FAI.2009.1065?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -