胫距跟骨（TTC）内钉治疗糖尿病伴Charcot神经病患者踝关节骨折的疗效

Q4 Medicine

Trauma Case Reports Pub Date : 2025-04-13 DOI:10.1016/j.tcr.2025.101158

Sayed Mohamed Elgoyoushi, Ahmed Nabawy Morrah, Ahmed Mahmoud Kholeif, Ahmad Amr Elbadry

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引用次数: 0

摘要

本研究旨在评价胫距跟骨（TTC）内钉治疗糖尿病伴Charcot神经病和踝关节骨折患者的临床和影像学结果。在2022年12月至2024年6月期间，共有84名患者接受了TTC钉入。使用足踝预后评分（FAOS）评估功能结局。观察到显著改善，从术前平均19.9±3.81增加到术后6个月的72.6±11.66 (p <；0.001)。75%的患者愈合，17.9%的患者延迟愈合，7.1%的患者不愈合。术后并发症包括浅表感染（7.1%）和深部感染（3.6%）。最终FAOS评分与患者人口统计学或糖尿病相关因素之间未发现显著相关性。TTC内钉是这一高危人群的可靠治疗选择。临床试验号：不适用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Outcomes of tibiotalocalcaneal (TTC) nailing in ankle fractures in diabetic patients with Charcot neuropathy

This study aimed to evaluate the clinical and radiographic outcomes of tibiotalocalcaneal (TTC) nailing in diabetic patients with Charcot neuropathy and ankle fractures. A total of 84 patients underwent TTC nailing between December 2022 and June 2024. Functional outcomes were assessed using the Foot and Ankle Outcome Score (FAOS). Significant improvement was observed, increasing from a preoperative mean of 19.9 ± 3.81 to 72.6 ± 11.66 at six months postoperatively (p < 0.001). Union was achieved in 75 % of patients, with delayed union in 17.9 % and nonunion in 7.1 %. Postoperative complications included superficial infections (7.1 %) and deep infections (3.6 %). No significant correlations were found between final FAOS scores and patient demographics or diabetes-related factors. TTC nailing is a reliable treatment option for this high-risk population.

Clinical trial number: not applicable.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.