Antibiotic-coated nail for fusion of infected charcot ankles. Academic Article Article uri icon

Overview

MeSH

  • Aged, 80 and over
  • Blood Sedimentation
  • C-Reactive Protein
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Osseointegration
  • Retrospective Studies

MeSH Major

  • Ankle Joint
  • Anti-Bacterial Agents
  • Arthrodesis
  • Arthropathy, Neurogenic
  • Bone Nails
  • Coated Materials, Biocompatible
  • Osteomyelitis

abstract

  • Treating infected ankles in patients with neuropathy is difficult, and complications are frequently encountered. Eradication of infection and effective arthrodesis are required for a successful outcome. The purpose of this study was to evaluate the outcomes of patients with Charcot neuropathy whose infected ankles were treated with a retrograde, antibiotic-coated, locked intramedullary nail. We analyzed 5 patients with infected neuroarthropathy of the ankle joint. Three patients had failed treatment with the circular external fixator for infected neuroarthropathy of the ankle. The other 2 were treated primarily by this technique. All patients were treated with surgical nonunion repair, arthrodesis, and insertion of an antibiotic-coated, locked intramedullary nail. The average age was 59 years (range, 46 to 82 years). The average follow up period was 18 months (range, 12-24 months). The average time taken for radiological healing was 4.1 months (range, 4-4.5 months). In all patients, bony union was achieved and infection was eradicated. There were no cases of hardware failure. Antibiotic-coated nails were used to treat infected ankle nonunions and infected distal tibial fractures in Charcot patients with successful bony union, fusion, and eradication of infection. Level IV, therapeutic study.

publication date

  • January 2013

has subject area

  • Aged, 80 and over
  • Ankle Joint
  • Anti-Bacterial Agents
  • Arthrodesis
  • Arthropathy, Neurogenic
  • Blood Sedimentation
  • Bone Nails
  • C-Reactive Protein
  • Coated Materials, Biocompatible
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Osseointegration
  • Osteomyelitis
  • Retrospective Studies

Research

keywords

  • Evaluation Studies
  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1177/1071100712460209

PubMed ID

  • 23386765

Additional Document Info

start page

  • 80

end page

  • 84

volume

  • 34

number

  • 1