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العنوان
Retrograde intramedullary nail versus External fixator in arthrodesis of charcot ankle: A Systematic Review/
الناشر
Ain Shams University.
المؤلف
Borham,Ahmad Muhammad Abdel Aziz .
هيئة الاعداد
باحث / أحمد محمد عبدالعزيز برهام
مشرف / فــادي ميشـــيل فهمـــي
مشرف / محـــمد علـــى إبراهـيـــــم
تاريخ النشر
2020
عدد الصفحات
93.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/4/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - Orthopedic Surgery
الفهرس
Only 14 pages are availabe for public view

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from 93

Abstract

Background: charcot Neuropathic Osteoarthropathy (CNO) requires ankle fusion to achieve plantigrade stable ankle which finally will lower the risk of amputation. The most common methods of fusion are retrograde intramedullary nail and external fixator.
Objective: to compare between Intramedullary nail and External fixator arthrodesis in charcot Neuroarthropathy of the ankle in terms of Fusion rates, Revision rates, and Complications.
Data Sources: Medline databases (PubMed, Medscape, Science Direct. EMF-Portal) Cochrane library and EKB.
Data Extraction: Data was independently extracted by two reviewers and cross-checked.
Conclusion: The current study reveals the evidence that IMN could yield better results than EF for tibiotalocalcaneal arthrodesis. Based on this review, IMN generated a higher rate of fusion with lesser complications than EF. In the clinical context of ulcer presence on the plantar aspect of the foot, the EF might be a better solution, particularly in diabetic patients. Due to small-pooled samples, we recommend further research via randomized trials to achieve more accurate and better results.