Union of Brodsky type 1/Eichenholtz stage III Charcot neuroarthropathy after forefoot arthrodesis
| Autor: | Adhi Satrio Utomo, Ananto Satya Pradana, Marvin Anthony Putera, Mohamad Hidayat, Edi Mustamsir, William Putera Sukmajaya, Muhammad Hilman Bimadi, Krisna Yuarno Phatama |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Arthrodesis
medicine.medical_treatment Surgical intervention Article 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Case report Deformity Medicine Kirschner wire Fixation (histology) Orthodontics business.industry Forefoot Charcot neuroarthropathy medicine.anatomical_structure 030220 oncology & carcinogenesis Radiological weapon 030211 gastroenterology & hepatology Surgery Ankle medicine.symptom business Forefoot arthrodesis Foot (unit) |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Forefoot arthrodesis by using screws and Kirschner wire fixation could achieve a satisfactory bony union. • AOFAS score of the right foot gradually improved from 45 to 86 in six months period after arthrodesis. • There was an improvement of right foot’s Meary’s angle from 22° to 8° six months after surgery. • The proper diagnosis and treatment of CN could prevent ulceration and lower extremity amputation. • Continuous follow-up and patient compliance are essential to minimize the complications of arthrodesis. Introduction One of the surgical intervention options for Charcot neuroarthropathy (CN) is arthrodesis. The arthrodesis procedure for the foot and ankle joint have been widely used in previous studies. This study aimed to evaluate the functional and radiological outcomes after arthrodesis procedure for the CN patient with Brodsky type 1/Eichenholtz stage III. Presentation of case A 49-years-old diabetic woman presented with alteration of her right foot’s shape and a cracking sensation while walking in the last six months. Rocker-bottom deformity and a decreased sensation on the right foot were found, and the initial American Orthopaedic Foot & Ankle Society (AOFAS) score was 45. Subsequently, forefoot arthrodesis of the right foot was performed. Discussion Several studies state that arthrodesis procedure is often used for CN management in order to achieve a plantigrade and stable foot. This study presents an improvement of the foot arch, AOFAS score, and union of the talus six months after surgery. Conclusion The arthrodesis procedure by using screws and Kirschner wire (K-wire) fixation is an effective method in CN management if the patient is compliant. This study showed a good result, anatomically restored the foot arch, and excellent radiological union, but different tools to analyze foot functional status and longer follow up period are needed for a better analysis. |
| Databáze: | OpenAIRE |
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