Complication rates in diabetics with first metatarsophalangeal joint arthrodesis
| Autor: | Zflan Swayzee, John J. Anderson, Gregory Paul Rowe, Myron Hansen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
peripheral neuropathy complications Arthrodesis medicine.medical_treatment lcsh:Surgery Asymptomatic Diabetes mellitus lcsh:Pathology Internal Medicine medicine Podiatry Clinical Research Article business.industry lcsh:RD1-811 medicine.disease Diabetic foot Surgery Diabetes mellitus complication neuropathy Peripheral neuropathy medicine.anatomical_structure first metatarsophalangeal arthrodesis Rheumatoid arthritis diabetes mellitus Ankle medicine.symptom business Complication lcsh:RB1-214 |
| Zdroj: | Diabetic Foot & Ankle; Vol 5 (2014) incl Supplements Diabetic Foot & Ankle Diabetic Foot & Ankle, Vol 5, Iss 0, Pp 1-5 (2014) |
| ISSN: | 2000-625X |
| Popis: | Background : First metatarsophalangeal joint (MTPJ) arthrodesis has been an effective surgical entity when indicated, but a range of severe to mild complications can occur from this procedure. Patients with diabetes mellitus have an increased risk in surgical complications, most commonly associated with soft tissue and bone healing, when compared to non-diabetic patients. The purpose of this study was to evaluate the complication rates of first MTPJ arthrodesis in diabetic patients and compare them to the existing complication rates for the procedure. Methods : Aretrospective chart review was done on 76 diabetic patients, fromJune 2002 toAugust 2012. Thirtytwo males and 44 females were included in the study. The authors evaluated many variables that could impact postoperative complications, including age, gender, bone graft incorporation, hemoglobin A1c, tobacco use, body mass index, peripheral neuropathy, hallux extensus, hallux interphalangeal arthritis, and rheumatoid arthritis, and compared them with the complication findings. Patient follow-up was no less than 24 months. Results : Overall, approximately two-thirds of the patients had no complications and 35.5% of patients had at least one mild or moderate complication. Of the non-union and mal-union complications, 80 and 70% had peripheral neuropathy, respectively. One hundred percent of the patients that had mal-positions or hardware failure also had peripheral neuropathy. No severe complications were seen during follow-up. Only two of the moderate complications needed revisions, and the rest of those with moderate complications were asymptomatic. Conclusion : In conclusion, first MTPJ arthrodesis is overall an effective and beneficial procedure in patients with diabetes mellitus. Diabetic patients with peripheral neuropathy have an increased risk for mild and moderate complications. Keywords : diabetes mellitus; complications; peripheral neuropathy; first metatarsophalangeal arthrodesis (Published: 27 June 2014) Citation: Diabetic Foot & Ankle 2014, 5 : 24649 - http://dx.doi.org/10.3402/dfa.v5.24649 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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