Evidence map›Paper›PMID 39285265›Full record

ArticleJournal of orthopaedic surgery and research2024

Locally obtained autologous bone grafts are effective for achieving arthrodesis while managing foot and ankle charcot's neuroarthropathy: short to mid-term results from a specialized north African foot and ankle surgery unit.

Ahmed Ekram Osman, Wael El-Adly, Kerolos Maged Haroun, Mohamed Khaled, Ahmed A Khalifa

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Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Ahmed Ekram OsmanOrthopaedic Department, Assiut University Hospital, Assiut, Egypt.
Wael El-AdlyOrthopaedic Department, Assiut University Hospital, Assiut, Egypt.
Kerolos Maged HarounOrthopaedic Department, Assiut University Hospital, Assiut, Egypt.
Mohamed KhaledOrthopaedic Department, Assiut University Hospital, Assiut, Egypt.
Ahmed A KhalifaOrthopaedic Department, Qena faculty of medicine and University Hospital, South Valley University, Qena, Egypt. ahmed_adel0391@med.svu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to report the union rate after only utilizing a locally obtained autologous bone graft while correcting the deformity and performing joint arthrodesis in patients with foot and ankle Charcot neuropathy (CN) and to report on the radiographic, functional, complications incidence outcomes at a minimum of two years of follow up.

methodsWe included 24 patients having a mean age of 55.4 ± 10.1 years diagnosed with CN of the foot, ankle, or both. Seven (29.2%) cases were classified as Brodsky type 1, 11 (45.8%) as type 3 A, and six (25%) were type 4. Hindfoot and Midfoot bi-columnar arthrodesis was performed in 70.8% and 29.2% of the patients, respectively. Eight (33.3%) cases had preoperative ulcers. Functional outcomes were evaluated using a modified AOFAS score. Arthrodesis site union was assessed clinically and radiographically. All patients were available for a mean follow up of 35.7 ± 9.5 (24-54) months.

resultsArthrodesis site union was achieved in 23 (95.8%) cases after a mean of 4 ± 1.7 (2-7.5) months. The mean modified AOFAS score was 72.4 ± 10.41 (46-83) points; 79.2% achieved excellent and good scores. Ulcers healed in 87.5% of the patients. Twenty-two (91.7%) patients were satisfied with their functional results. Infection incidence was 12.5%, and no patients required revision or amputation.

conclusionFoot and ankle Charcot neuroarthropathy deformity correction by arthrodesis of the affected joint as a salvage management option resulted in acceptable clinical and radiological outcomes. To enhance the local environment for arthrodesis consolidation, locally obtained autografts led to higher union rates and avoided the drawbacks of using other graft types.

Indexed as

ArthrodesisArthropathy, NeurogenicBone TransplantationTransplantation, AutologousAdultAgedAnkle JointFemaleFollow-Up StudiesFoot JointsHumansMaleMiddle AgedNorth African PeopleRetrospective StudiesTime FactorsArthrodesisAutograftCharcot’s neuroarthropathyLimb-salvage

Identifiers

PMID39285265
PMCPMC11406869

What Socratic holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.