Functional Outcome of Hindfoot Arthrodesis in Charcot Arthropathy
- Author:
KUHARAJAN R
1
Author Information
1. Department of Orthopaedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
- Collective Name:KUHARAJAN R; MOHD YAZID B; OHNMAR H; YULIAWIRATMAN BS
- Publication Type:Journal Article
- Keywords:
arthropathy;
charcot;
fusion;
hindfoot
- From:Medicine and Health
2019;14(1):172-182
- CountryMalaysia
- Language:English
-
Abstract:
Charcot arthropathy is a devastating degenerative condition which affects one or
more joints that is marked by joint instability, hypermobility resulted from peripheral
nerve damage. This was a retrospective study performed on patients who were
diagnosed with Charcot arthropathy and those underwent surgery for hindfoot
arthrodesis at Universiti Kebangsaan Malaysia Medical Centre from January 2011
until June 2016. The objective of the study was to review the feasibility of an
algorithm in managing Charcot arthropathy and to assess functional, clinical
and radiographic outcomes of Charcot arthropathy joints treated with hindfoot
arthrodesis, at least 6 months follow-up using standardized and internationally
accepted scoring systems, which were the American Orthopaedic Foot and Ankle
Surgery (AOFAS) score and SF36. A total of 16 patients were included in this study
of which 4 (25%) were males and 12 (75%) were females. The mean age was 58.1
(20-71) years. There was equal distribution for side of fusion. We achieved union
in 13 out of our 16 (81%) cases followed up. Out of the 3 patients with non-union,
2 were attributed to deep infections. The AOFAS scores for hindfoot and midfoot
showed significant improvement post operatively with p-value <0.05 as well as
the SF36 mental scores with p-value <0.05. The Physical Component of SF36
showed no improvement. The treatment algorithm currently used in our centre
is acceptable and shows good outcomes. While the outcomes are of acceptable
rates, efforts should now focus on reducing the complications as the burden of
infection and non-union remains a known complication for most bone-related
surgeries.
- Full text:12.2019my0116.pdf
