PMID: 19141721Jan 15, 2009Paper

Arthrodesis of neuropathic ankle joint by Ilizarov fixator in diabetic patients

Journal of the American Podiatric Medical Association
Hasan KarapinarUlas Akgun

Abstract

Fusion of the neuropathic ankle joint is extremely difficult and associated with many complications. The use of the Ilizarov fixator in ankle fusion for patients with neuropathic arthropathy is not clear. We aimed to evaluate the results of the Ilizarov method for ankle arthrodesis in diabetic patients with neuropathic arthropathy. We report the results of neuropathic ankle joint arthrodesis performed with the Ilizarov apparatus in 11 patients. The mean age of the patients was 51 years (range, 35-67 years), all patients were diabetic, and they all had a history of ankle trauma unresponsive to conservative treatment. Deformity and instability of the ankle resulting in a nonplantigrade foot was the operative indication. Solid fusion was obtained in all patients except one, at an average of 16.1 weeks (range, 12-20 weeks). At final follow-up, excellent results were obtained in three patients, good in six, fair in one, and poor in one. No major complication occurred. The Ilizarov fixator may be an alternative and effective means for neuropathic ankle arthrodesis, especially when the usage of internal fixation methods have some limitations.

References

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Citations

Aug 27, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Guido A LaPortaJennifer L Mulhern
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
Jun 13, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Tun Hing Lui
Mar 3, 2012·Foot & Ankle International·Thomas G MyersDane K Wukich
Jul 11, 2012·Clinical Orthopaedics and Related Research·Austin T FragomenS Robert Rozbruch
Dec 31, 2019·Case Reports in Orthopedics·Koji NozakaYoichi Shimada
Oct 17, 2017·Foot & Ankle International·Hani El-MowafiSamer Ali
Apr 2, 2020·The Bone & Joint Journal·Yaser AlammarNikolay Mikhailovich Kliushin
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Brian Martin, Jason Chow

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