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매우 불안정한 족관절 골관절병증에서 지주형태 자가 비골을 이용한 관절유합술(1예 보고)

Ankle Arthrodesis in Very Unstable Charcot Arthropathy using Autogenous Fibular Strut Bone Graft (A Case Report)

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초록

Charcot arthropathy of the foot and ankle is characterized by a combination of sensory, motor and autonomic peripheral neuropathy leading to gross swelling, bony destruction and finally severe bony deformity with joint instability. We report a case of very unstable Charcot arthropathy in ankle joint managed with ankle arthrodesis using fibular strut bone grafting technique.

Abstract

Charcot arthropathy of the foot and ankle is characterized by a combination of sensory, motor and autonomic peripheral neuropathy leading to gross swelling, bony destruction and finally severe bony deformity with joint instability. We report a case of very unstable Charcot arthropathy in ankle joint managed with ankle arthrodesis using fibular strut bone grafting technique.

참고문헌 (7)

  1. Aneel N, "Ankle arthrodesis", Foot Ankle Surgery, 14, pp.1~10 (2008)
  2. Caravaggi C, "Intramedullary compressive nail fixation for the treatment of severe Charcot deformity of the ankle and rear foot", J Foot Ankle Surg, 45, pp.20~24 (2006)
  3. Fabrin J, "Arthrodesis with external fixation in the unstable or misaligned Charcot ankle in patients with diabetes mellitus", Int J Lower Extrem Wounds, 6, pp.102~107 (2007)
  4. Karapinar H, "Arthrodesis of neuropathic ankle joint by Ilizarov fixator in diabetic patients", J Am Podiatr Med Assoc, 99, pp.42~48 (2009)
  5. Pinzur MS, "Ankle arthrodesis with a retrograde femoral nail for Charcot ankle arthropathy", Foot Ankle Int, 26, pp.545~549 (2005)
  6. Schon LC, "Charcot neuroarthropathy of the foot and ankle", Clin Orthop Relat Res, 349, pp.116~131 (1998)
  7. Strauss E, "Adjunct low intensity ultrasound in Charcot neuroarthropathy", Clin Orthop Relat Res, 349, pp.132~136 (1998)

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