Tags

Type your tag names separated by a space and hit enter

Outcome of one-stage correction of deformities of the ankle and hindfoot and fusion in Charcot neuroarthropathy using a retrograde intramedullary hindfoot arthrodesis nail.
Bone Joint J. 2015 Jan; 97-B(1):76-82.BJ

Abstract

We report the outcomes of 20 patients (12 men, 8 women, 21 feet) with Charcot neuro-arthropathy who underwent correction of deformities of the ankle and hindfoot using retrograde intramedullary nail arthrodesis. The mean age of the patients was 62.6 years (46 to 83); their mean BMI was 32.7 (15 to 47) and their median American Society of Anaesthetists score was 3 (2 to 4). All presented with severe deformities and 15 had chronic ulceration. All were treated with reconstructive surgery and seven underwent simultaneous midfoot fusion using a bolt, locking plate or a combination of both. At a mean follow-up of 26 months (8 to 54), limb salvage was achieved in all patients and 12 patients (80%) with ulceration achieved healing and all but one patient regained independent mobilisation. There was failure of fixation with a broken nail requiring revision surgery in one patient. Migration of distal locking screws occurred only when standard screws had been used but not with hydroxyapatite-coated screws. The mean American Academy of Orthopaedic Surgeons Foot and Ankle (AAOS-FAO) score improved from 50.7 (17 to 88) to 65.2 (22 to 88), (p = 0.015). The mean Short Form (SF)-36 Health Survey Physical Component Score improved from 25.2 (16.4 to 42.8) to 29.8 (17.7 to 44.2), (p = 0.003) and the mean Euroqol EQ‑5D‑5L score improved from 0.63 (0.51 to 0.78) to 0.67 (0.57 to 0.84), (p = 0.012). Single-stage correction of deformity using an intramedullary hindfoot arthrodesis nail is a good form of treatment for patients with severe Charcot hindfoot deformity, ulceration and instability provided a multidisciplinary care plan is delivered.

Authors+Show Affiliations

King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.King's College Hospital NHS Foundation Trust, London SE5 9RT, UK.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

25568417

Citation

Siebachmeyer, M, et al. "Outcome of One-stage Correction of Deformities of the Ankle and Hindfoot and Fusion in Charcot Neuroarthropathy Using a Retrograde Intramedullary Hindfoot Arthrodesis Nail." The Bone & Joint Journal, vol. 97-B, no. 1, 2015, pp. 76-82.
Siebachmeyer M, Boddu K, Bilal A, et al. Outcome of one-stage correction of deformities of the ankle and hindfoot and fusion in Charcot neuroarthropathy using a retrograde intramedullary hindfoot arthrodesis nail. Bone Joint J. 2015;97-B(1):76-82.
Siebachmeyer, M., Boddu, K., Bilal, A., Hester, T. W., Hardwick, T., Fox, T. P., Edmonds, M., & Kavarthapu, V. (2015). Outcome of one-stage correction of deformities of the ankle and hindfoot and fusion in Charcot neuroarthropathy using a retrograde intramedullary hindfoot arthrodesis nail. The Bone & Joint Journal, 97-B(1), 76-82. https://doi.org/10.1302/0301-620X.97B1.34542
Siebachmeyer M, et al. Outcome of One-stage Correction of Deformities of the Ankle and Hindfoot and Fusion in Charcot Neuroarthropathy Using a Retrograde Intramedullary Hindfoot Arthrodesis Nail. Bone Joint J. 2015;97-B(1):76-82. PubMed PMID: 25568417.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of one-stage correction of deformities of the ankle and hindfoot and fusion in Charcot neuroarthropathy using a retrograde intramedullary hindfoot arthrodesis nail. AU - Siebachmeyer,M, AU - Boddu,K, AU - Bilal,A, AU - Hester,T W, AU - Hardwick,T, AU - Fox,T P, AU - Edmonds,M, AU - Kavarthapu,V, PY - 2015/1/9/entrez PY - 2015/1/9/pubmed PY - 2015/3/3/medline KW - Charcot foot KW - Diabetes mellitus KW - Hydroxyapatite coating KW - Neuroarthropathy KW - Neuropathic KW - Peripheral neuropathy KW - Tibiocalcaneal arthrodesis SP - 76 EP - 82 JF - The bone & joint journal JO - Bone Joint J VL - 97-B IS - 1 N2 - We report the outcomes of 20 patients (12 men, 8 women, 21 feet) with Charcot neuro-arthropathy who underwent correction of deformities of the ankle and hindfoot using retrograde intramedullary nail arthrodesis. The mean age of the patients was 62.6 years (46 to 83); their mean BMI was 32.7 (15 to 47) and their median American Society of Anaesthetists score was 3 (2 to 4). All presented with severe deformities and 15 had chronic ulceration. All were treated with reconstructive surgery and seven underwent simultaneous midfoot fusion using a bolt, locking plate or a combination of both. At a mean follow-up of 26 months (8 to 54), limb salvage was achieved in all patients and 12 patients (80%) with ulceration achieved healing and all but one patient regained independent mobilisation. There was failure of fixation with a broken nail requiring revision surgery in one patient. Migration of distal locking screws occurred only when standard screws had been used but not with hydroxyapatite-coated screws. The mean American Academy of Orthopaedic Surgeons Foot and Ankle (AAOS-FAO) score improved from 50.7 (17 to 88) to 65.2 (22 to 88), (p = 0.015). The mean Short Form (SF)-36 Health Survey Physical Component Score improved from 25.2 (16.4 to 42.8) to 29.8 (17.7 to 44.2), (p = 0.003) and the mean Euroqol EQ‑5D‑5L score improved from 0.63 (0.51 to 0.78) to 0.67 (0.57 to 0.84), (p = 0.012). Single-stage correction of deformity using an intramedullary hindfoot arthrodesis nail is a good form of treatment for patients with severe Charcot hindfoot deformity, ulceration and instability provided a multidisciplinary care plan is delivered. SN - 2049-4408 UR - https://www.unboundmedicine.com/medline/citation/25568417/Outcome_of_one_stage_correction_of_deformities_of_the_ankle_and_hindfoot_and_fusion_in_Charcot_neuroarthropathy_using_a_retrograde_intramedullary_hindfoot_arthrodesis_nail_ L2 - https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.97B1.34542?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -