%0 Journal Article
%T Mid-term results of hindfoot arthrodesis with a retrograde intramedullary nail in 24 patients with diabetic Charcot neuroarthropathy
%A Fuat Bilgili
%A Mehmet Chodza
%A Mehmet Demirel
%A Mehmet Ersin
%A Onder Ismet Kili£¿oglu
%J Acta Orthopaedica
%D 2020
%R https://doi.org/10.1080/17453674.2020.1746605
%X Background and purpose ¡ª Hindfoot arthrodesis using retrograde intramedullary nailing assumes a critical role in limb salvage for patients with diabetic Charcot neuroarthropathy (CN). However, this procedure is compelling and fraught with complications in diabetic patients. We report the mid-term clinical and radiological outcomes of retrograde intramedullary nailing for severe foot and ankle deformity in patients with diabetic CN. Patients and methods ¡ª Hindfoot arthrodesis was performed using a retrograde intramedullary nail in 24 patients (15 females) with diabetic Charcot foot. The mean age of the patients was 62 years (33¨C82); the mean follow-up was 45 months (24¨C70). The primary outcomes were rates of fusion, limb salvage, and complications. Results ¡ª The overall fusion rate was 23/24, and none of the patients needed amputation. The rate of superficial wound infection was 4/24, and no deep infection or osteomyelitis was observed postoperatively. Interpretation ¡ª For selected cases of diabetic CN with severe foot and ankle deformity, hindfoot arthrodesis using a retrograde intramedullary nail seems to be a good technique in achieving fusion, limb salvage, and avoidance of complications
%U https://www.tandfonline.com/doi/full/10.1080/17453674.2020.1746605