Minimally Invasive Hind-Foot Fusion in Charcot Patients  

作　　者：Sami Nogdallah Mohanad Osman Ibrahim Abd-Elseed Alaa Mohamed Mohamed Khairy Osama Gamal Nubi Montaser Fatooh Hozifa Mohammed Ali Abd-Elmaged Sami Nogdallah;Mohanad Osman Ibrahim Abd-Elseed;Alaa Mohamed Mohamed Khairy;Osama Gamal Nubi;Montaser Fatooh;Hozifa Mohammed Ali Abd-Elmaged(Department of Orthopedics, Alneelain University, Khartoum, Sudan;Department of Orthopedics, Orthopaedic Registrar Sudan Medical Specialization Board, Khartoum, Sudan;Department of Orthopedics, Bashaer University Hospital, MBBS Al Neelan University, Khartoum, Sudan;Department of Orthopedics, Alzaiem Alazhari University, Khartoum, Sudan)

机构地区：[1]Department of Orthopedics, Alneelain University, Khartoum, Sudan [2]Department of Orthopedics, Orthopaedic Registrar Sudan Medical Specialization Board, Khartoum, Sudan [3]Department of Orthopedics, Bashaer University Hospital, MBBS Al Neelan University, Khartoum, Sudan [4]Department of Orthopedics, Alzaiem Alazhari University, Khartoum, Sudan

出　　处：《Open Journal of Orthopedics》2023年第11期477-484,共8页矫形学期刊（英文）

摘　　要：Background: Hindfoot fusion, is a fusion of the talonavicular, talocalcaneal, and calcaneocuboid joints and is commonly performed for patients complaining of pain, chronic instability and gross deformity as a result of hindfoot pathology. Objective: This study aimed to assess the functional outcomes of the patients underwent hindfoot fusion, the post-operative complications and patient’s satisfaction. Methodology: This study is a prospective cohort study was conducted in Future hospital, in Khartoum, Sudan. It involved 30 patients from July 2015-July 2022. Data was collected by the primary researcher using data collection sheet, then it was cleaned and entered into Microsoft excel data sheet and was analysed using SPSS version 28 software. Results: 33.3% of the patients are aged 51 - 60 years, and >60 years. Male: Female equals 1:1. 56.7% are for the left side, only 23.3% developed complications. 63.3% patients are fully satisfied. There is a significant correlation between the AOFAS score before and after the operation. Also, a significant correlation between the means of AOFAS score after with the complications and the satisfaction of the patients. Conclusion: Minimally invasive tibio-talo-calcaneal is an alternative procedure for the treatment of severe Charcot arthropathy of the ankle. The expected functional outcome is impressive and comparable with the open surgery. However, the post-operative complications are prevalent in 23.3% of patients. Most candidates are fully satisfied with the procedure.Background: Hindfoot fusion, is a fusion of the talonavicular, talocalcaneal, and calcaneocuboid joints and is commonly performed for patients complaining of pain, chronic instability and gross deformity as a result of hindfoot pathology. Objective: This study aimed to assess the functional outcomes of the patients underwent hindfoot fusion, the post-operative complications and patient’s satisfaction. Methodology: This study is a prospective cohort study was conducted in Future hospital, in Khartoum, Sudan. It involved 30 patients from July 2015-July 2022. Data was collected by the primary researcher using data collection sheet, then it was cleaned and entered into Microsoft excel data sheet and was analysed using SPSS version 28 software. Results: 33.3% of the patients are aged 51 - 60 years, and >60 years. Male: Female equals 1:1. 56.7% are for the left side, only 23.3% developed complications. 63.3% patients are fully satisfied. There is a significant correlation between the AOFAS score before and after the operation. Also, a significant correlation between the means of AOFAS score after with the complications and the satisfaction of the patients. Conclusion: Minimally invasive tibio-talo-calcaneal is an alternative procedure for the treatment of severe Charcot arthropathy of the ankle. The expected functional outcome is impressive and comparable with the open surgery. However, the post-operative complications are prevalent in 23.3% of patients. Most candidates are fully satisfied with the procedure.

关 键 词：ANKLE SUDAN Patient Satisfaction ARTHROPATHY NEUROGENIC 

分 类 号：R73[医药卫生—肿瘤]