Ankle Arthrodesis Using an Anterior T Plate in treating the Charcot joint of Ankle in a diabetic patient - A Case Report -

당뇨환자의 불안정 족관절에 있어서의 전방 T자형 금속판을 이용한 족관절 고정술

  • Hwang, Kuhn-Sung (Department of Orthopaedic Surgery, Hanyang University College of medicine) ;
  • Sung, Il-Hoon (Department of Orthopaedic Surgery, Hanyang University College of medicine) ;
  • Cho, Soo-Hyun (Department of Orthopaedic Surgery, Hanyang University College of medicine)
  • 황건성 (한양대학교 의과대학 정형외과학 교실) ;
  • 성일훈 (한양대학교 의과대학 정형외과학 교실) ;
  • 조수현 (한양대학교 의과대학 정형외과학 교실)
  • Published : 2001.06.01

Abstract

It has been known that the ankle arthrodesis is a common surgical procedure for treating the ankle arthrosis and deformity that do not respond to the non-operative treatment. To date, various surgical techniques for the ankle arthrodesis have been reported. Clinical and biomechanical trials have shown that the rigid internal fixation leads the increased rate of the union. The ankle arthrodesis may be complicated with the nonunion, delayed union, malunion, and infection. In cases of the Charcot joint of the ankle in diabetic patients, however, arthrodesis could reduce the disadvantage of the nonoperative treatment, such as the loss of the reduction, progressive collapse, multiple ulcerations and infection. The object of this case report is to report our experience of a successful ankle arthrodesis using an anterior T plate in treating the unstable ankle of a diabetic patient, associated with the ankle fracture and the neuropathy. The surgical approach of this technique is simple so that it would allow less soft tissue injury, and this procedure would be regarded as one alternative to provide the rigid internal fixation in the ankle arthrodesis.

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