Author(s) Details:
R Shibu
Department of Orthopaedics, Government Medical College, Thiruvananthapuram, Kerala-695011, India.
Shan AK
Department of Orthopaedics, Government Medical College, Thiruvananthapuram, Kerala-695011, India.
Akhil Kumar K
Department of Orthopaedics, Government Medical College, Thiruvananthapuram, Kerala-695011, India.
Binoy S
Department of Orthopaedics, Government Medical College, Thiruvananthapuram, Kerala-695011, India.
This section is a part of the chapter: Management of Charcot Neuroarthropathy of Foot with Hindfoot Retrograde Intramedullary Nail
The study was conducted as a prospective observational study at Government Medical College, Thiruvananthapuram during the period June 2021 to May 2022 after IEC clearance. All consecutive patients with Charcot arthropathy who were managed by tibiotalocalcaneal arthrodesis with hindfoot retrograde nails in the institution were included in the study (Shan et al., 2023). The inclusion criteria were patients in the age group 40- 90 years of either sex, who had Charcot arthropathy of ankle and subtalar joint, and who gave informed consent for the study. The exclusion criteria were patients with previous disability, patients with severe comorbidities who were unfit for surgery, uncontrolled diabetes mellitus, children, associated neurovascular injuries and patients who were lost to follow-up (Shan et al., 2023). There was a total of 41 patients in the study. Complete clinical and neurological examinations were done for all patients. Radiographs of the ankle in antero-posterior (AP), lateral and mortise views; and foot-AP and lateral views were taken for all patients. The AOFAS Ankle-Hindfoot score was used for the outcome evaluation of the ankle and hind foot. The AOFAS Score is the most used score for measuring the outcome of treatment in patients with complex ankle or hindfoot injuries (Shan et al., 2023). It combinedly evaluates clinician-reported and patient-reported parts (Van Lieshout et al., 2017). Both pre-op and post-op AOFAS Scores were calculated. Assessment was done at 1 month, 3 months, 6 months and 1 year after surgery. The AOFAS Score at 1 year was considered for evaluation. An AOFAS Score >75 out of 100 implies a good functional outcome, an AOFAS score of 50-75 implies a fair outcome and an AOFAS score of <50 implies a poor outcome (Shan et al., 2023). Complications including infection, non-union, hardware failure etc. were also noted.
How to Cite
Shibu, R., AK, S., K, A. K., & S, B. (2025). Management of Charcot Neuroarthropathy of Foot with Hindfoot Retrograde Intramedullary Nail. Medical Science: Trends and Innovations Vol. 4, 152–170. https://doi.org/10.9734/bpi/msti/v4/4184