Murat Cinar1, Alihan Derincek, Sercan Akpinar. 1. Baskent University, Orthopaedic and Trauma Surgery, Adana Education and Research Hospital, Dadaloglu Mah, 39 SK, No 6, Yüregir, Adana, Turkey. cinarbm@gmail.com
Abstract
BACKGROUND: To prevent amputation, achieving successfull ankle artrodesis in diabetic Charcot arthropaty patients is very important. As a salvage procedure, we have used a 95-degree-angled blade plate via a posterior approach to achieve tibiocalcaneal arthrodesis. MATERIALS AND METHODS: Between 2006 and 2008, four diabetic patients with hindfoot Charcot arthropathy underwent talectomy and tibiocalcaneal arthrodesis with an AO 95-degree-angled blade plate via a posterior approach. Two of the patients were male and two were female. The average age was 63 (range, 53 to 70) years. The mean duration of diabetes was 9 (range, 5 to 20) years. All the patients were on hemodialysis. Three of four patients had undergone previous surgeries. The average followup period was 24 (range, 12 to 35) months. RESULTS: Clinical and radiographic fusion was present by 5 (range, 3 to 6) months in three of four patients. In the other patient, a stable fibrous ankylosis was achieved. Clinical outcomes were excellent in three patients, and good in one patient. CONCLUSION: The performance of tibiocalcaneal arthrodesis with the use of blade plate with a posterior approach was a safe and successful surgical method for the treatment of Charcot ankle.
BACKGROUND: To prevent amputation, achieving successfull ankle artrodesis in diabetic Charcot arthropatypatients is very important. As a salvage procedure, we have used a 95-degree-angled blade plate via a posterior approach to achieve tibiocalcaneal arthrodesis. MATERIALS AND METHODS: Between 2006 and 2008, four diabeticpatients with hindfoot Charcot arthropathy underwent talectomy and tibiocalcaneal arthrodesis with an AO 95-degree-angled blade plate via a posterior approach. Two of the patients were male and two were female. The average age was 63 (range, 53 to 70) years. The mean duration of diabetes was 9 (range, 5 to 20) years. All the patients were on hemodialysis. Three of four patients had undergone previous surgeries. The average followup period was 24 (range, 12 to 35) months. RESULTS: Clinical and radiographic fusion was present by 5 (range, 3 to 6) months in three of four patients. In the other patient, a stable fibrous ankylosis was achieved. Clinical outcomes were excellent in three patients, and good in one patient. CONCLUSION: The performance of tibiocalcaneal arthrodesis with the use of blade plate with a posterior approach was a safe and successful surgical method for the treatment of Charcot ankle.