TY - JOUR KW - Adult KW - Aged KW - Aged, 80 and over KW - Ankle Joint KW - Arthrodesis KW - Arthropathy, Neurogenic KW - Female KW - Follow-Up Studies KW - Humans KW - leprosy KW - Male KW - Middle Aged KW - Postoperative Complications KW - Radiography AU - Shibata T AU - Tada K AU - Hashizume C AB -

Twenty-four patients who had arthrodesis of one or both ankles for leprotic neuroarthropathy were followed for an average of nine years and five months. At operation, after the removal of cartilage, joint debris, and sclerotic bone, the ankle joint was transfixed with a Küntscher intramedullary nail, and staples or Kirschner wires were used to control rotation. Fusion of bone was obtained in nineteen (73 per cent) of the twenty-six ankles. Failure to obtain fusion was due to postoperative infection in four patients, deficiency of the site of arthrodesis in one patient, and refracture through the site of fusion in two patients. When arthrodesis was successful, additional neuroarthropathic destruction of the mid-tarsal joint was halted, and the preoperative clinical symptoms of dull pain, local warmth, swelling, and instability were relieved.

BT - The Journal of bone and joint surgery. American volume C1 - http://www.ncbi.nlm.nih.gov/pubmed/2355038?dopt=Abstract DA - 1990 Jun IS - 5 J2 - J Bone Joint Surg Am LA - eng N2 -

Twenty-four patients who had arthrodesis of one or both ankles for leprotic neuroarthropathy were followed for an average of nine years and five months. At operation, after the removal of cartilage, joint debris, and sclerotic bone, the ankle joint was transfixed with a Küntscher intramedullary nail, and staples or Kirschner wires were used to control rotation. Fusion of bone was obtained in nineteen (73 per cent) of the twenty-six ankles. Failure to obtain fusion was due to postoperative infection in four patients, deficiency of the site of arthrodesis in one patient, and refracture through the site of fusion in two patients. When arthrodesis was successful, additional neuroarthropathic destruction of the mid-tarsal joint was halted, and the preoperative clinical symptoms of dull pain, local warmth, swelling, and instability were relieved.

PY - 1990 SP - 749 EP - 56 T2 - The Journal of bone and joint surgery. American volume TI - The results of arthrodesis of the ankle for leprotic neuroarthropathy. VL - 72 SN - 0021-9355 ER -