Limb-threatening Deep Infections Associated With Hardware Complications After Intramedullary Hindfoot Nailing in Charcot Feet:

Foot & Ankle Orthopaedics

MichaelStrauss¹ 

关键词: charcot;    deformity;    infection;    amputation;    hindfoot;    ankle;    intramedullary nailing;    hardware complications;   

DOI  :  10.1177/2473011418S00467

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:DiabetesIntroduction/Purpose:Multiple experiences with hindfoot intramedullary nailing (HINs) have demonstrated their usefulness for salvage of even the most severe ankle and foot deformities. However, special precautions must be employed when using this procedure in the diabetic with sensory neuropathy and advanced Charcot neuroarthropathy (CN) bone changes. A series of limb threatening complications after using the HIN in this subset of patients occurred. All failures were due to further bone collapse associated with the CN and penetration of the distal interlocking screws through the skin. This has led to the establishment of a protocol for reducing the chances of adverse occurrences when utilizing HIN in the named patient group.Methods:Three index cases in diabetes with failed HINs, two resulting in below knee amputations, were analyzed retrospectively. All initially presented with severe deformities with impending ulcerations at the apices of the deformities. Satisfactory realignments of the...

【 授权许可】

CC BY