USAGE OF FEMORAL HEAD ALLOGRAFT FOR AUGMENTATION OF HINDFOOT FUSION IN CHARCOT FOOT ARTHROPATHY: A CASE REPORT

Received 2021-01-14; Accepted 2021-10-18; Published 2021-11-24

Authors

  • Mohd Yazid Bin Bajuri Department of Orthopaedic and Traumatology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur.
  • Adrian Teoh Department of Orthopaedic and Traumatology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur.
  • Norliyana Mazli Department of Orthopaedic and Traumatology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur.
  • Husna Mohd Apandi Department of Orthopaedic and Traumatology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur.

DOI:

https://doi.org/10.22452/jummec.vol25no1.17

Keywords:

Charcot arthropathy, femoral head bone block, hindfoot nail

Abstract

Charcot arthropathy is a complex disease secondary to neuropathic foot caused by a multitude of diseases. However, the prevalent underlying disease is diabetes mellitus. The cascade of continuous bone destruction and remodeling leads to further bone deformities which if left untreated, may develop into infection and ultimately leading to amputation of the limb. As the majority of cases present at a much later stage, there is often significant bone loss further complicating treatment options. Despite the severe deformity, literature has shown good functional results with appropriate surgical treatment as in our case of Charcot arthropathy treated with ankle arthrodesis augmented with a femoral head bone graft which resulted in well healed wound with no signs of infection and good callus formation. Use of an allograft bone block in cases with extensive bone lost remains a significant option and facilitates patients who undergo surgery to fare better despite nonunion.

Downloads

Download data is not yet available.

Downloads

Published

2022-01-20

Issue

Vol. 25 No. 1 (2022)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia.