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KMID : 0896720010050010023
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Journal of the Korean Society of Foot Surgery
2001 Volume.5 No. 1 p.23 ~ p.27
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Ankle Arthrodesis Using an Anterior T Plate in treating the Charcot joint of Ankle in a diabetic patient
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Hwang Kun-Sung
Sung Il-Hoon
Cho Soo-Hyun
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Abstract
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It has been known that the ankle arthrodesis is a surgical procedure for treating the ankle arthrosis and deformity that do not respond to the non-operative treatment. To date, various surgical technique for the ankle arthrodesis have been reported. Clinical and biomechanical trials have shown that the rigid internal fixation leads the increased rate of the union. The ankle arthrodesis may be complicated with the nonunion, delayed union, malunion, and infection. In cases of the Charcot joint of the ankle on diabetic patients, however, arthrodesis could reduce the disadvantage of the nonoperative treatment, such as the loss of the reduction, progressive collapse, multiple ulcerations and infection. The object of this case report is to report our experience of a successful ankle arthrodesis using an anterior T plate in treating the unstable ankle of a diabetic patient, associated with the ankle fracture and the neuropathy. The surgical approach of this technique is simple so that it would allow less soft tissue injury, and this procedure would be regarded as one alternative to provide the rigid internal fixation in the ankle arthrodesis.
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KEYWORD
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Ankle fracture, Diabetic neuropathy, Anterior T plate, Ankle arthrodesis
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