A retrospective comparative analysis of Charcot ankle stabilization using an intramedullary rod with or without application of circular external fixator--utilization of the Retrograde Arthrodesis Intramedullary Nail database

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
J George DeVriesChristopher F Hyer

Abstract

Brodsky type 3a Charcot destruction of the ankle is devastating to patients. The authors have surgically stabilized this deformity with the use of an intramedullary arthrodesis nail, and explore the usefulness of adjunctive application of a circular external fixator. Fifty-two patients were treated with retrograde intramedullary nail with and without circular external fixation. A comprehensive chart and radiographic review were pulled from the Retrograde Arthrodesis Intramedullary Nail database. Of these, 45 patients were treated with a nail alone (Nail group), and 7 were treated with a nail and circular external fixation augmentation (ExFix group). The primary end point was major amputation or braceable limb. The average age was 59.4 and 51.6 years in the Nail and ExFix groups, respectively (p = .0068). Chronic steroid use was statistically significantly different and was found in 3 (6.7%) and 4 (57.1%) patients in the Nail and ExFix groups, respectively (p = .0039). The rate of major amputation was 10/45 (22.2%) and 2/7 (28.6%) in the Nail and ExFix groups, respectively (p = .656), with an overall salvage rate of 40/52 limbs (75.6%). The addition of circular external fixation does not affect the overall salvage or complicatio...Continue Reading

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Citations

Oct 11, 2015·Diabetes/metabolism Research and Reviews·Dane K WukichDavid Sadoskas
Jan 27, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Brian J SchneeklothDane K Wukich
Jul 28, 2015·Bone·Daniel J GehlingNabil A Ebraheim
Jul 29, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Paul DaytonRachel A Reimer
May 28, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Dane K WukichBedda L Rosario
Dec 9, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Martin WiewiorskiAlexej Barg
Dec 7, 2016·Foot & Ankle International·Christopher KreulenEric Giza
Feb 9, 2013·Foot & Ankle International·J George DeVriesChristopher F Hyer
Nov 5, 2016·Foot & Ankle International·Patrick K StrotmanMichael S Pinzur
Apr 11, 2014·Foot & Ankle International·Bradly BussewitzGregory C Berlet
Dec 7, 2016·Foot & Ankle International·Dane K WukichMitchell Fourman
Dec 12, 2018·Foot & Ankle International·Elizabeth A HarkinMichael S Pinzur
Jan 12, 2020·Operative Orthopädie und Traumatologie·Sebastian Felix BaumbachHans Polzer
Apr 2, 2020·The Bone & Joint Journal·Yaser AlammarNikolay Mikhailovich Kliushin
Oct 17, 2017·Foot & Ankle International·Hani El-MowafiSamer Ali
Feb 8, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Luke McCannJoseph D Dickinson
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Brian Martin, Jason Chow

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