TY - JOUR KW - Adolescent KW - Adult KW - Aged KW - Arthrodesis KW - Arthropathy, Neurogenic KW - Child KW - Female KW - Foot Deformities, Acquired KW - Foot Diseases KW - Humans KW - leprosy KW - Male KW - Middle Aged KW - Reoperation KW - Retrospective Studies KW - Shoes KW - Treatment Outcome AU - Schwarz R J AU - Macdonald M R C AU - Pas M AB -

We describe the results of arthrodesis for the treatment of recurrent acute neuropathic bone disease in 24 feet and of chronic disease with deformity in 91 feet, undertaken between January 1984 and December 2003. All were due to leprosy. Correction of the deformity was achieved in 80 of 106 feet (76%) and fusion in 97 of 110 feet (88%). In the 24 feet in which recurrent neuropathic bone disease was the reason for surgery, 17 (71%) obtained stability while in seven (29%) symptoms recurred postoperatively. Complications were experienced following 58 of the 110 operations (53%). In patients presenting primarily with deformity with a minimum follow-up of two years (79 feet), there was a reduced frequency of ulceration in 40 (51%). Normal footwear could be worn by 32 patients (40%) after surgery, while 40 (51%) required a moulded insole. Arthrodesis of the ankle in the neuropathic foot due to leprosy has a good overall rate of success although the rate of complications is high.

BT - The Journal of bone and joint surgery. British volume C1 - http://www.ncbi.nlm.nih.gov/pubmed/16720767?dopt=Abstract DA - 2006 Jun DO - 10.1302/0301-620X.88B6.17276 IS - 6 J2 - J Bone Joint Surg Br LA - eng N2 -

We describe the results of arthrodesis for the treatment of recurrent acute neuropathic bone disease in 24 feet and of chronic disease with deformity in 91 feet, undertaken between January 1984 and December 2003. All were due to leprosy. Correction of the deformity was achieved in 80 of 106 feet (76%) and fusion in 97 of 110 feet (88%). In the 24 feet in which recurrent neuropathic bone disease was the reason for surgery, 17 (71%) obtained stability while in seven (29%) symptoms recurred postoperatively. Complications were experienced following 58 of the 110 operations (53%). In patients presenting primarily with deformity with a minimum follow-up of two years (79 feet), there was a reduced frequency of ulceration in 40 (51%). Normal footwear could be worn by 32 patients (40%) after surgery, while 40 (51%) required a moulded insole. Arthrodesis of the ankle in the neuropathic foot due to leprosy has a good overall rate of success although the rate of complications is high.

PY - 2006 SP - 747 EP - 50 T2 - The Journal of bone and joint surgery. British volume TI - Results of arthrodesis in neuropathic feet. VL - 88 SN - 0301-620X ER -