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[Tibiotalocalcaneal corrective arthrodesis in Charcot arthropathy of the ankle with a retrograde nail].
Oper Orthop Traumatol. 2015 Apr; 27(2):114-28.OO

Abstract

BACKGROUND

Involvement of the ankle joint in Charcot osteoarthropathy is most often associated with severe instability and fracture or collapse of the talus. Caused by malalignment, ulcerations over both malleoli are associated with increased risk of major amputation.

OBJECTIVE

The goal of the operation is to realign the hind foot, gain a stable osteosynthesis, and prevent major amputation.

INDICATIONS

Charcot osteoarthropathy of the ankle joint with instability, with or without soft tissue involvement, failure of the primary arthrodesis of the ankle or subtalar joint.

CONTRAINDICATIONS

Acute osteitis/osteomyelitis, severe malalignment of the distal tibia, soft tissue infection close to the ankle joint.

SURGICAL TECHNIQUE

Realignment of the hind foot, preparation of the joint surfaces using a transfibular approach. Bone grafting of the defects, stable osteosynthesis with an anatomically shaped retrograde locking nail.

POSTOPERATIVE MANAGEMENT

Walker or cast for at least 12 weeks, 6 weeks no weight bearing. Partial weight bearing starting from week 7. X-ray control at 2, 6, and 12 weeks. After 12 weeks, walking in an ankle brace until fully consolidated.

Authors+Show Affiliations

Sektion Knie-, Fuβ- und Sprunggelenkchirurgie, BG-Unfallklinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland, recum@bgu-ludwigshafen.de.

Pub Type(s)

Case Reports
Journal Article

Language

ger

PubMed ID

25862127

Citation

von Recum, J. "[Tibiotalocalcaneal Corrective Arthrodesis in Charcot Arthropathy of the Ankle With a Retrograde Nail]." Operative Orthopadie Und Traumatologie, vol. 27, no. 2, 2015, pp. 114-28.
von Recum J. [Tibiotalocalcaneal corrective arthrodesis in Charcot arthropathy of the ankle with a retrograde nail]. Oper Orthop Traumatol. 2015;27(2):114-28.
von Recum, J. (2015). [Tibiotalocalcaneal corrective arthrodesis in Charcot arthropathy of the ankle with a retrograde nail]. Operative Orthopadie Und Traumatologie, 27(2), 114-28. https://doi.org/10.1007/s00064-014-0336-x
von Recum J. [Tibiotalocalcaneal Corrective Arthrodesis in Charcot Arthropathy of the Ankle With a Retrograde Nail]. Oper Orthop Traumatol. 2015;27(2):114-28. PubMed PMID: 25862127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Tibiotalocalcaneal corrective arthrodesis in Charcot arthropathy of the ankle with a retrograde nail]. A1 - von Recum,J, Y1 - 2015/04/10/ PY - 2014/08/22/received PY - 2015/01/05/accepted PY - 2014/11/17/revised PY - 2015/4/12/entrez PY - 2015/4/12/pubmed PY - 2016/11/9/medline SP - 114 EP - 28 JF - Operative Orthopadie und Traumatologie JO - Oper Orthop Traumatol VL - 27 IS - 2 N2 - BACKGROUND: Involvement of the ankle joint in Charcot osteoarthropathy is most often associated with severe instability and fracture or collapse of the talus. Caused by malalignment, ulcerations over both malleoli are associated with increased risk of major amputation. OBJECTIVE: The goal of the operation is to realign the hind foot, gain a stable osteosynthesis, and prevent major amputation. INDICATIONS: Charcot osteoarthropathy of the ankle joint with instability, with or without soft tissue involvement, failure of the primary arthrodesis of the ankle or subtalar joint. CONTRAINDICATIONS: Acute osteitis/osteomyelitis, severe malalignment of the distal tibia, soft tissue infection close to the ankle joint. SURGICAL TECHNIQUE: Realignment of the hind foot, preparation of the joint surfaces using a transfibular approach. Bone grafting of the defects, stable osteosynthesis with an anatomically shaped retrograde locking nail. POSTOPERATIVE MANAGEMENT: Walker or cast for at least 12 weeks, 6 weeks no weight bearing. Partial weight bearing starting from week 7. X-ray control at 2, 6, and 12 weeks. After 12 weeks, walking in an ankle brace until fully consolidated. SN - 1439-0981 UR - https://www.unboundmedicine.com/medline/citation/25862127/[Tibiotalocalcaneal_corrective_arthrodesis_in_Charcot_arthropathy_of_the_ankle_with_a_retrograde_nail]_ DB - PRIME DP - Unbound Medicine ER -