Use of Intramedullary Nonvascularized Fibular Graft with External Fixation for Revisional Charcot Ankle Fusion: A Case Report

Abstract We describe a case of Charcot ankle arthropathy in a 43-year-old male patient who underwent revision surgery for tibiotalocalcaneal arthrodesis with a retrograde intramedullary nonvascularized fibular graft. After 3 months of postoperative stabilization with a ring external fixator, success...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2012-03, Vol.51 (2), p.249-253
Main Authors: Jeong, Soon-Taek, MD, Park, Hyung-Bin, MD, Hwang, Sun-Chul, MD, Kim, Dong-Hee, MD, Nam, Dae-Cheol, MD
Format: Article
Language:English
Subjects:
Adult
Ankle Joint - surgery
Arthrodesis
arthropathy
Arthropathy, Neurogenic - surgery
Biological and medical sciences
bone graft
Bone Nails
Diseases of the osteoarticular system
External Fixators
Fibula - transplantation
Humans
Male
Medical sciences
Miscellaneous. Osteoarticular involvement in other diseases
Orthopedic surgery
Orthopedics
Reoperation
surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tarsal Joints - surgery
tibia
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Summary:Abstract We describe a case of Charcot ankle arthropathy in a 43-year-old male patient who underwent revision surgery for tibiotalocalcaneal arthrodesis with a retrograde intramedullary nonvascularized fibular graft. After 3 months of postoperative stabilization with a ring external fixator, successful radiographic union was identified. The findings obtained at 33 months postoperatively showed maintenance of solid fusion and restoration of hindfoot alignment without any complications.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2011.10.026