Closed arthrodesis in infected neuropathic ankles using ilizarov ring fixation
The Bone & Joint Journal Apr 03, 2020
Alammar Y, et al. - This study was intended to conduct ankle arthrodesis in a closed manner, without surgical preparation of the joint surfaces by cartilaginous debridement, but instead applying an Ilizarov ring fixator (IRF) for deformity correction and facilitating fusion, in arthritic neuropathic ankles with correlated osteomyelitis. Researchers designed retrospective review to included all the individuals who had undergone closed ankle arthrodesis (CAA) in Ilizarov Scientific Centre from 2013 to 2018 (Group A) and correlated them with a similar group of patients (Group B) who underwent open ankle arthrodesis. The neuropathic patients were classified into three arthritic subgroups: Charcot joint, Charcot-Maire-Tooth disease, and post-traumatic arthritis. Using an Ilizarov ring fixator, all arthrodeses were conducted. Using an IRF, CAA was found to be an effective procedure for ankle arthrodesis in infected neuropathic foot and ankle cases and afforded comparable results to open methods. For neuropathic ankles, due to its great advantages, Ilizarov method of CAA should always be considered in suitable patients.
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