Thompson RC Jr, Clohisy DR: Deformity following fracture in diabetic neuropathic osteoarthropathy. Operative management of adults who have type-1 diabetes. .J Bone Joint Surg Am75::1765. ,1993. .8258546)| false
Fabrin J, Larsen K, Holstein PE: Arthrodesis with external fixation in the unstable or misaligned Charcot ankle in patients with diabetes mellitus. .Int J Low Extrem Wounds6::102. ,2007. .17558008)| false
Background: Fusion of the neuropathic ankle joint is extremely difficult and associated with many complications. The use of the Ilizarov fixator in ankle fusion for patients with neuropathic arthropathy is not clear. We aimed to evaluate the results of the Ilizarov method for ankle arthrodesis in diabetic patients with neuropathic arthropathy.
Methods: We report the results of neuropathic ankle joint arthrodesis performed with the Ilizarov apparatus in 11 patients. The mean age of the patients was 51 years (range, 35–67 years), all patients were diabetic, and they all had a history of ankle trauma unresponsive to conservative treatment. Deformity and instability of the ankle resulting in a nonplantigrade foot was the operative indication.
Results: Solid fusion was obtained in all patients except one, at an average of 16.1 weeks (range, 12–20 weeks). At final follow-up, excellent results were obtained in three patients, good in six, fair in one, and poor in one. No major complication occured.
Conclusions: The Ilizarov fixator may be an alternative and effective means for neuropathic ankle arthrodesis, especially when the usage of internal fixation methods have some limitations. (J Am Podiatr Med Assoc 99(1): 42–48, 2009)
Corresponding author: Hasan Karapinar, MD, Izmir Ataturk Training and Research Hospital, Mavisehir 56/5, Karsiyaka, 5700 Izmir, Turkey. (E-mail: firstname.lastname@example.org)