{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T07:28:14Z","timestamp":1768030094379,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The occurrence of infection in the ankle and hindfoot presents a formidable surgical challenge. Currently, there is a lack of consensus regarding its treatment strategies. The purpose of this study was to investigate the outcomes of one\u2010stage arthroscopic ankle and tibiotalocalcaneal (TTC) arthrodesis with external fixation in the treatment of septic ankle and hindfoot arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective consecutive case\u2010series study was conducted involving six patients diagnosed with acute or chronic septic ankle or hindfoot arthritis, who underwent operative intervention entailing thorough debridement, arthroscopically assisted one\u2010stage ankle or TTC fusion, and external fixation. The American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle\u2010hindfoot score and visual analog scale (VAS) pain score were determined preoperatively and at the final follow\u2010up. Demographic and clinical data, inclusive of perioperative and postoperative complications, were recorded. Comparisons of AOFAS ankle\u2010hindfoot score and VAS pain score between preoperative measures and those at the final follow\u2010up were conducted using paired t\u2010tests or paired Wilcoxon rank\u2010sum tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study cohort comprised two males and four females, with a mean age of 48.7\u2009years (range, 26\u201375) at the time of surgical intervention. At the final follow\u2010up (mean, 26.5\u2009months; range, 16\u201348), the AOFAS scores exhibited a significant improvement, ascending from an initial mean of 38.8 (range, 12\u201357) to 80.0 (range, 54\u201392) (<jats:italic>p<\/jats:italic>\u2009=\u20090.007). VAS scores indicated a substantial reduction in pain, decreasing from 6.5 (range, 4\u20139) to 0 (range, 0\u20135) (<jats:italic>p<\/jats:italic>\u2009=\u20090.046). All patients had achieved osseous consolidation, with a hindfoot infection control rate of 100%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>One\u2010stage arthroscopic ankle and TTC arthrodesis with external fixation is as an effective therapeutic choice for septic ankle or hindfoot arthritis. This approach yields favorable outcomes characterized by effective infection control, favorable osseous consolidation, and significant functional restoration of the affected limb.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14211","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T03:25:21Z","timestamp":1725247521000},"page":"2140-2147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of One\u2010Stage Arthroscopic Ankle and Tibiotalocalcaneal Arthrodesis with External Fixation for Septic Ankle and Hindfoot Arthritis: A Case\u2010Series Study"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3219-6186","authenticated-orcid":false,"given":"Wenjing","family":"Li","sequence":"first","affiliation":[{"name":"Department of Foot and Ankle Surgery Beijing Jishuitan Hospital, Capital Medical University  Beijing China"},{"name":"The Fourth Clinical Medical College of Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4845-0348","authenticated-orcid":false,"given":"Baozhou","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Fourth Clinical Medical College of Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery Beijing Jishuitan Hospital, Capital Medical University  Beijing China"},{"name":"The Fourth Clinical Medical College of Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2048-6194","authenticated-orcid":false,"given":"Hui","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery Beijing Jishuitan Hospital, Capital Medical University  Beijing China"},{"name":"The Fourth Clinical Medical College of Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery Beijing Jishuitan Hospital, Capital Medical University  Beijing China"},{"name":"The Fourth Clinical Medical College of Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182312473"},{"issue":"2","key":"e_1_2_11_3_1","first-page":"139","article-title":"Arthrodesis of the ankle joint in septic osteoarthritis: six years long term outcomes in authors' personal experience","volume":"23","author":"Simoni G","year":"2019","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.07.644"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/2047-783X-15-2-54"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.10.012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)00156-X"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2520-y"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.24938"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000051933.83342.E4"},{"issue":"6","key":"e_1_2_11_11_1","first-page":"1999","article-title":"Increased risk of 90\u2010day surgical\u2010site infection and hospital readmission but not reoperation after open Arthrotomy when compared with arthroscopy for septic ankle arthritis. Arthroscopy: the journal of Arthroscopic & Related","volume":"38","author":"Ramamurti P","year":"2022","journal-title":"Surgery"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.18.00080"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2021.07.009"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.12.019"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.12.043"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2018.10.006"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-021-05233-9"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-023-03592-0"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000129"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2014.11.010"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.09.006"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.14211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T09:39:50Z","timestamp":1732009190000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.14211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":20,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/os.14211"],"URL":"https:\/\/doi.org\/10.1111\/os.14211","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2024-06-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}