未经证实:Charcot踝关节和后足神经关节病是一种复杂的临床实体,截肢风险很高。Charcot神经关节病的肢体重建已被提议作为肢体挽救程序。然而,缺乏有关各种可用重建方法的信息,包括结果和并发症。本研究旨在评估当前文献,并更新有关踝关节和后足Charcot神经关节病的手术治疗趋势。
UNASSIGNED:分析了2010年1月至2020年1月发表的所有数据,这些数据调查了Charcot神经关节病手术重建的固定方法及其各自的结果。工会率,截肢率,并对与这些技术相关的并发症进行统计分析.
未经评估:共有16项研究符合本研究的纳入标准,纳入了4项III级研究和12项IV级研究.10项研究仅使用内固定;5项使用内固定和圆形外固定器的组合,在内部和外部固定之间有三个比较研究,两项研究应用了内外固定联合技术(混合固定)。一项研究仅描述了圆形外固定架的使用。
UASSIGNED:在Charcot踝关节病的重建中,建议在溃疡发生之前使用逆行髓内钉作为首选治疗方法。建议将羟基磷灰石(HA)涂层螺钉用于锁定机制,以防止由于骨骼质量差而在Charcot神经关节病中迁移。建议在溃疡和更复杂的畸形情况下进行混合固定,因为它可以提供更高的肢体抢救率,而软组织刺激更少。
UNASSIGNED: Charcot
neuroarthropathy of the ankle and the hindfoot is a complex clinical entity with a high risk of amputation. Charcot
neuroarthropathy limb reconstruction has been proposed as a limb-salvaging procedure. However, there was a lack of information on the various available reconstruction methods, including the outcomes and complications. The present study aimed to evaluate the current literature and update on the trends regarding the surgical management of Charcot
neuroarthropathy of the ankle and the hindfoot.
UNASSIGNED: All data published from January 2010 to January 2020 that investigated the methods of fixation and their respective outcomes for the surgical reconstruction in Charcot
neuroarthropathy were analyzed. The union rate, amputation rates, and complications associated with these techniques were taken for statistical analysis.
UNASSIGNED: A total of 16 studies fit the inclusion criteria of this study, with four Level-III studies and 12 Level-IV studies were included. Ten studies utilized internal fixation only; five used a combination of internal fixation and circular external fixator, whereby there are three comparative studies between internal and external fixations, and two studies applied combined technique of internal and external fixations (hybrid fixation). One study describes the usage of circular external fixation only.
UNASSIGNED: The use of retrograde intramedullary nail as a treatment of choice in the reconstruction of Charcot
neuroarthropathy ankle is recommended before an ulcer occurrence. Hydroxyapatite (HA)- coated screws are recommended for the locking mechanism to prevent migration in Charcot neuroarthropathy due to poor bony quality. Hybrid fixation is recommended for reconstruction in a condition of ulceration and more complex deformity as it provides a higher rate of limb salvage with less soft tissue irritation.