Document Detail

The results of arthrodesis of the ankle for leprotic neuroarthropathy.
MedLine Citation:
PMID:  2355038     Owner:  NLM     Status:  MEDLINE    
Twenty-four patients who had arthrodesis of one or both ankles for leprotic neuroarthropathy were followed for an average of nine years and five months. At operation, after the removal of cartilage, joint debris, and sclerotic bone, the ankle joint was transfixed with a Küntscher intramedullary nail, and staples or Kirschner wires were used to control rotation. Fusion of bone was obtained in nineteen (73 per cent) of the twenty-six ankles. Failure to obtain fusion was due to postoperative infection in four patients, deficiency of the site of arthrodesis in one patient, and refracture through the site of fusion in two patients. When arthrodesis was successful, additional neuroarthropathic destruction of the mid-tarsal joint was halted, and the preoperative clinical symptoms of dull pain, local warmth, swelling, and instability were relieved.
T Shibata; K Tada; C Hashizume
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  72     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-07-25     Completed Date:  1990-07-25     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  749-56     Citation Subset:  AIM; IM    
National Sanatorium, Kagawa, Japan.
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MeSH Terms
Aged, 80 and over
Ankle Joint / radiography,  surgery*
Arthrodesis* / methods
Arthropathy, Neurogenic / etiology,  radiography,  surgery*
Follow-Up Studies
Leprosy / complications*
Middle Aged
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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