Surgical Treatment of Charcot Ankle Fractures by Primary Tibiotalocalcaneal Nailing | ||
| International Journal of Medical Arts | ||
| Article 12, Volume 6, Issue 10, October 2024, Pages 5015-5021 PDF (1.79 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2024.198286.1636 | ||
| Authors | ||
| Taher El-Said Ebead* 1; Mohamed Mustafa Elmenawy2; Mahmoud Mohamed El Said2 | ||
| 1Department of Orthopedic Surgery, Damietta Specialized Hospital, Ministry of Health, Damietta, Egypt | ||
| 2Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||
| Abstract | ||
| Background: Charcot ankle fractures are a complex injury requiring effective surgical intervention to ensure optimal healing and functional restoration. Primary tibiotalocalcaneal nailing has emerged as a potential fixation technique for these challenging fractures, though the functional outcomes and rates of union require further investigation. The aim of the work: This study aims to evaluate the functional outcomes of primary tibiotalocalcaneal nailing in adults with Charcot ankle fractures and assess the rates of union and non-union following the procedure. Patients and Methods: Twenty adult patients with diagnosed Charcot ankle fractures underwent primary tibiotalocalcaneal nailing. Each patient was followed up for a minimum of six months, with clinical and radiological assessments performed to evaluate the functional outcomes of the fixation. Radiographic evaluations at three months post-operatively were conducted to determine the incidence of union and non-union. The study also examined complications, including post-operative suture removal, wound infection, and weight-bearing status Results: At the three-month follow-up, radiological assessments indicated that 70% of the studied cases achieved union, while 30% experienced non-union. Statistical analysis revealed no significant differences between union and non-union cases concerning post-operative suture removal, incidence of wound infection, and weight-bearing status, with p-values of 0.65, 0.521, and 0.2, respectively. Conclusion: Primary tibiotalocalcaneal nailing shows promise as a surgical treatment for Charcot ankle fractures, with a favorable union rate observed in the majority of patients. | ||
| Keywords | ||
| Diabetes mellitus; Ankle fractures; Charcot Ankle; Tibiotalocalcaneal; Fixation | ||
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