Seven patients with nonbraceable, neuropathic ankle joints have been successfully treated by tibiocalcaneal arthrodesis utilizing an adolescent condylar blade plate, large cannulated AO screws, and a special cancellous allograft mixture. All patients had fragmentation and partial resorption of the talus. This procedure was considered as an alternative to below-knee amputation. Goals were limb salvage and limited community ambulation.
Get full access to this article
View all access options for this article.
References
1.
DennisD. A.ClaytonM. L.WongD. A.MackR. P.SusmanM. H.: Internal fixation compression arthrodesis of the ankle. Clin. Orthop., 253:212–220, 1990.
2.
DrennanD. B.FaheyJ. J.MaylahnD. J.: Important factors in achieving arthrodesis of the Charcot knee. J. Bone Joint Surg., 53A:1180–1193, 1971.
3.
EichenholtzS. N.: Charcot Joints.Springfield, IL: Charles C. Thomas, 1966.
4.
JohnsonJ. T. H.: Neuropathic fractures and joint injuries. Pathogenesis and rationale of prevention and treatment. J. Bone Joint Surg., 49A:1–30, 1967.
5.
LaingP. W.CogleyD. I.KlenermanL.: Neuropathic foot ulceration treated by total contact casts. J. Bone Joint Surg., 74B:133–136, 1992.
6.
McLarenA. C.: Osteomyelitis: depot antibiotics mixed with morselized* cancellous bone graft. Transplant./Implant. Today, 27:7–14, 1990.
7.
ShibataT.TadaK.HashizumeC.: The results of arthrodesis of the ankle for leprotic neuroarthropathy. J. Bone Joint Surg., 72A:749–756, 1990.
8.
SowaD. T.KrackowK. A.: Ankle fusion: a new technique of internal fixation using a compression blade plate. Foot Ankle, 9(5):232–240, 1989.
9.
StuartM. J.MorreyB. F.: Arthrodesis of the Diabetic Neuropathic Ankle Joint. Clin. Orthop., 253:209–211, 1990.
