Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy
Background. At present, treatment of patients with Charcot neuroarthropathy remains an unsolved problem. The current state of the problem motivated us to develop a new original method of hindfoot reconstruction aimed to form a tibiocalcaneal bone block with maximum possible preservation of limb leng...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Vreden Russian Research Institute of Traumatology and Orthopedics
2025-03-01
|
| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/17605/pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849314192165699584 |
|---|---|
| author | Stanislav A. Osnach Victor G. Protsko Vladimir N. Obolenskiy Vladimir A. Vinogradov Vasiliy V. Kuznetsov Sargon K. Tamoev |
| author_facet | Stanislav A. Osnach Victor G. Protsko Vladimir N. Obolenskiy Vladimir A. Vinogradov Vasiliy V. Kuznetsov Sargon K. Tamoev |
| author_sort | Stanislav A. Osnach |
| collection | DOAJ |
| description | Background. At present, treatment of patients with Charcot neuroarthropathy remains an unsolved problem. The current state of the problem motivated us to develop a new original method of hindfoot reconstruction aimed to form a tibiocalcaneal bone block with maximum possible preservation of limb length in patients with Charcot neuroarthropathy.
The aim of the paper was to demonstrate a new one-stage tibiocalcaneal arthrodesis technique aimed at preserving maximum possible limb length.
Surgical technique description. At the preoperative stage, the angle adjacent to the Gissan angle and its bisector is measured on X-rays. After performing the Kocher ankle approach with subsequent lateral malleolus resection and osteonecrectomy, the distal metaepiphysis of the tibia is cut in an oblique-horizontal plane at the bisector angle, open posteriorly and equal to the preoperatively measured value. The resulting triangular bone fragment is rotated by 180º and adapted within the external fixator.
Conclusion. The proposed method for total talar destruction in patients with Charcot neuroarthropathy is convenient and simple for adapting incongruent calcaneal and tibial surfaces and allows reducing the lower limb shortening in tibiocalcaneal arthrodesis. |
| format | Article |
| id | doaj-art-358b45f71cd1445da139437c97979e56 |
| institution | Kabale University |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| publishDate | 2025-03-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj-art-358b45f71cd1445da139437c97979e562025-08-20T03:52:32ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332025-03-0131112513210.17816/2311-2905-176051390Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot NeuroarthropathyStanislav A. Osnach0https://orcid.org/0000-0003-4943-3440Victor G. Protsko1https://orcid.org/0000-0002-5077-2186Vladimir N. Obolenskiy2https://orcid.org/0000-0003-1276-5484Vladimir A. Vinogradov3https://orcid.org/0000-0001-5228-5130Vasiliy V. Kuznetsov4https://orcid.org/0000-0001-6287-8132Sargon K. Tamoev5https://orcid.org/0000-0001-8748-0059Yudin City Clinical HospitalYudin City Clinical HospitalCity Clinical Hospital No 13Peoples’ Friendship University of Russia named after Patrice LumumbaYudin City Clinical HospitalYudin City Clinical HospitalBackground. At present, treatment of patients with Charcot neuroarthropathy remains an unsolved problem. The current state of the problem motivated us to develop a new original method of hindfoot reconstruction aimed to form a tibiocalcaneal bone block with maximum possible preservation of limb length in patients with Charcot neuroarthropathy. The aim of the paper was to demonstrate a new one-stage tibiocalcaneal arthrodesis technique aimed at preserving maximum possible limb length. Surgical technique description. At the preoperative stage, the angle adjacent to the Gissan angle and its bisector is measured on X-rays. After performing the Kocher ankle approach with subsequent lateral malleolus resection and osteonecrectomy, the distal metaepiphysis of the tibia is cut in an oblique-horizontal plane at the bisector angle, open posteriorly and equal to the preoperatively measured value. The resulting triangular bone fragment is rotated by 180º and adapted within the external fixator. Conclusion. The proposed method for total talar destruction in patients with Charcot neuroarthropathy is convenient and simple for adapting incongruent calcaneal and tibial surfaces and allows reducing the lower limb shortening in tibiocalcaneal arthrodesis.https://journal.rniito.org/jour/article/viewFile/17605/pdfcharcot neuroarthropathytotal defect of the talustibiocalcaneal arthrodesislimb length preservation |
| spellingShingle | Stanislav A. Osnach Victor G. Protsko Vladimir N. Obolenskiy Vladimir A. Vinogradov Vasiliy V. Kuznetsov Sargon K. Tamoev Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy Travmatologiâ i Ortopediâ Rossii charcot neuroarthropathy total defect of the talus tibiocalcaneal arthrodesis limb length preservation |
| title | Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy |
| title_full | Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy |
| title_fullStr | Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy |
| title_full_unstemmed | Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy |
| title_short | Method of Tibiocalcaneal Arthrodesis for a Total Defect of the Talus in Patients with Charcot Neuroarthropathy |
| title_sort | method of tibiocalcaneal arthrodesis for a total defect of the talus in patients with charcot neuroarthropathy |
| topic | charcot neuroarthropathy total defect of the talus tibiocalcaneal arthrodesis limb length preservation |
| url | https://journal.rniito.org/jour/article/viewFile/17605/pdf |
| work_keys_str_mv | AT stanislavaosnach methodoftibiocalcanealarthrodesisforatotaldefectofthetalusinpatientswithcharcotneuroarthropathy AT victorgprotsko methodoftibiocalcanealarthrodesisforatotaldefectofthetalusinpatientswithcharcotneuroarthropathy AT vladimirnobolenskiy methodoftibiocalcanealarthrodesisforatotaldefectofthetalusinpatientswithcharcotneuroarthropathy AT vladimiravinogradov methodoftibiocalcanealarthrodesisforatotaldefectofthetalusinpatientswithcharcotneuroarthropathy AT vasiliyvkuznetsov methodoftibiocalcanealarthrodesisforatotaldefectofthetalusinpatientswithcharcotneuroarthropathy AT sargonktamoev methodoftibiocalcanealarthrodesisforatotaldefectofthetalusinpatientswithcharcotneuroarthropathy |