Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series
Aim: This case series reviewed challenging cases of Charcot neuropathy (CN) of the ankle joint and the efficacy of limb salvage procedures. Background: Charcot neuroarthropathy (CN) is a chronic debilitating pathology involving bone and joints, especially when affecting weight-bearing joints. Unfort...
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| Language: | English |
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Jaypee Brothers Medical Publisher
2023-07-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1288 |
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| author | Raden Andri Primadhi Ghuna Arioharjo Utoyo Muhammad Naseh Sajadi Budi |
| author_facet | Raden Andri Primadhi Ghuna Arioharjo Utoyo Muhammad Naseh Sajadi Budi |
| author_sort | Raden Andri Primadhi |
| collection | DOAJ |
| description | Aim: This case series reviewed challenging cases of Charcot neuropathy (CN) of the ankle joint and the efficacy of limb salvage procedures.
Background: Charcot neuroarthropathy (CN) is a chronic debilitating pathology involving bone and joints, especially when affecting weight-bearing joints. Unfortunately, due to its relatively mild initial symptoms, many patients come to the hospital when CN is already in an advanced stage. When deciding between amputation and limb salvage, some aspects must be considered—general condition, local ankle condition, and availability of surgical equipment.
Case description: We report three CN cases that presented late because of a lack of patient awareness or physician underdiagnosis. Despite ankle joint obliterations, all cases were successfully treated by limb salvage comprising debridement, reduction, and fixation using an intramedullary nail to achieve tibiocalcaneal arthrodesis. Patients’ weight-bearing ability was restored, and short-term quality of life was improved, despite varied fusion rates.
Conclusion: Limb salvage by tibiocalcaneal arthrodesis using an intramedullary nail is a feasible option for CN, even in advanced stages with massive periarticular obliteration.
Clinical significance: To avoid worsening conditions resulting from the underdiagnosis of CN, health promotion should be emphasized not only for the primary care clinician but also for the community as a whole. Although normal function is still difficult to achieve, treating advanced-stage CN by limb salvage will improve patients’ quality of life and daily activities. |
| format | Article |
| id | doaj-art-bbbbf4b6ac834946b7acb8ea1ac39ece |
| institution | OA Journals |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-bbbbf4b6ac834946b7acb8ea1ac39ece2025-08-20T02:27:57ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052023-07-0110313513910.5005/jp-journals-10040-12887Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case SeriesRaden Andri Primadhi0https://orcid.org/0000-0002-5825-5941Ghuna Arioharjo Utoyo1Muhammad Naseh Sajadi Budi2Raden Andri Primadhi, Department of Orthopaedics and Traumatology, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, IndonesiaDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, IndonesiaDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, IndonesiaAim: This case series reviewed challenging cases of Charcot neuropathy (CN) of the ankle joint and the efficacy of limb salvage procedures. Background: Charcot neuroarthropathy (CN) is a chronic debilitating pathology involving bone and joints, especially when affecting weight-bearing joints. Unfortunately, due to its relatively mild initial symptoms, many patients come to the hospital when CN is already in an advanced stage. When deciding between amputation and limb salvage, some aspects must be considered—general condition, local ankle condition, and availability of surgical equipment. Case description: We report three CN cases that presented late because of a lack of patient awareness or physician underdiagnosis. Despite ankle joint obliterations, all cases were successfully treated by limb salvage comprising debridement, reduction, and fixation using an intramedullary nail to achieve tibiocalcaneal arthrodesis. Patients’ weight-bearing ability was restored, and short-term quality of life was improved, despite varied fusion rates. Conclusion: Limb salvage by tibiocalcaneal arthrodesis using an intramedullary nail is a feasible option for CN, even in advanced stages with massive periarticular obliteration. Clinical significance: To avoid worsening conditions resulting from the underdiagnosis of CN, health promotion should be emphasized not only for the primary care clinician but also for the community as a whole. Although normal function is still difficult to achieve, treating advanced-stage CN by limb salvage will improve patients’ quality of life and daily activities.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1288anklecharcot neuroarthropathylimb salvage |
| spellingShingle | Raden Andri Primadhi Ghuna Arioharjo Utoyo Muhammad Naseh Sajadi Budi Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series Journal of Foot and Ankle Surgery (Asia Pacific) ankle charcot neuroarthropathy limb salvage |
| title | Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series |
| title_full | Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series |
| title_fullStr | Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series |
| title_full_unstemmed | Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series |
| title_short | Limb Salvage for Charcot Neuroarthropathy of the Ankle Joint: A Case Series |
| title_sort | limb salvage for charcot neuroarthropathy of the ankle joint a case series |
| topic | ankle charcot neuroarthropathy limb salvage |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1288 |
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