{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:15:28Z","timestamp":1761822928720},"reference-count":19,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2006,6,1]],"date-time":"2006-06-01T00:00:00Z","timestamp":1149120000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:p> We describe the results of arthrodesis for the treatment of recurrent acute neuropathic bone disease in 24 feet and of chronic disease with deformity in 91 feet, undertaken between January 1984 and December 2003. All were due to leprosy. <\/jats:p><jats:p> Correction of the deformity was achieved in 80 of 106 feet (76%) and fusion in 97 of 110 feet (88%). In the 24 feet in which recurrent neuropathic bone disease was the reason for surgery, 17 (71%) obtained stability while in seven (29%) symptoms recurred postoperatively. Complications were experienced following 58 of the 110 operations (53%). In patients presenting primarily with deformity with a minimum follow-up of two years (79 feet), there was a reduced frequency of ulceration in 40 (51%). Normal footwear could be worn by 32 patients (40%) after surgery, while 40 (51%) required a moulded insole. Arthrodesis of the ankle in the neuropathic foot due to leprosy has a good overall rate of success although the rate of complications is high. <\/jats:p>","DOI":"10.1302\/0301-620x.88b6.17276","type":"journal-article","created":{"date-parts":[[2006,5,23]],"date-time":"2006-05-23T19:08:33Z","timestamp":1148411313000},"page":"747-750","source":"Crossref","is-referenced-by-count":11,"title":["Results of arthrodesis in neuropathic feet"],"prefix":"10.1302","volume":"88-B","author":[{"given":"R. J.","family":"Schwarz","sequence":"first","affiliation":[{"name":"Green Pastures Hospital and Rehabilitation Centre, Box 28, Pokhara, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. R. C.","family":"Macdonald","sequence":"additional","affiliation":[{"name":"24 Peach Parade, Remuera, Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"van der Pas","sequence":"additional","affiliation":[{"name":"2e Wittenburgerdwarsstraat 144, 1018 LP Amsterdam, The Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Charcot JM. Sur quelques arthropathies qui paraissent dependre d\u2019une lesion due cerveau ou de la moelle epiniere. Arch Physiol Norm et Pathol 1868;1:161\u201378."},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Harris JR, Brand PW. Patterns of disintegration of the tarsus in the anaesthetic foot. J Bone Joint Surg [Br] 1962;48-B:4\u201316.","DOI":"10.1302\/0301-620X.48B1.4"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.53B4.688"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Macdonald MRC, Brandsma JW, Warren AG, et al. Report from the workship on the neurologically impaired foot: 5\u20139 June 2000, green pastures hospital, pokhara, Nepal: assessment and examination of the neurologically impaired foot. Lepr Rev 2001;72:254\u201362.","DOI":"10.5935\/0305-7518.20010032"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Brandsma JE, Macdonald MRC, Warren AG, et al. Report from the workshop on the neurologically impaired foot: 5\u20139 June 2000, green pastures hospital, pokhara, Nepal: complications and management of the neurologically impaired foot. Lepr Rev 2001;72:263\u201375.","DOI":"10.5935\/0305-7518.20010033"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Stuart MJ, Morrey BF. Arthrodesis of the diabetic neuropathic ankle joint. Clin Orthop 1990;253:209\u201311.","DOI":"10.1097\/00003086-199004000-00029"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1016\/0958-2592(95)90013-6"},{"key":"R8","unstructured":"Warren G, Nade S. The care of neuropathic limbs. New York: Parthenon Publishing Group, 1999."},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Shibata T, Tada K, Hashizume C. The results of arthrodesis of the ankle for leprotic neuroarthropathy. J Bone Joint Surg [Am] 1990;72-A:749\u201356.","DOI":"10.2106\/00004623-199072050-00016"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Drennan DB, Fahey JJ, Maylahn DJ. Important factors in achieving arthrodesis of the charcot knee. J Bone Joint Surg [Am] 1971;53-A:1180\u201393.","DOI":"10.2106\/00004623-197153060-00014"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Ebenezer M, Partheebarajan S, Solomon S. Long-term follow-up of joint stabilization procedures in the treatment of fixed deformities in leprosy. Lepr Rev 1996;67: 126\u201334.","DOI":"10.5935\/0305-7518.19960013"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Papa J, Myerson M, Girard P. Salvage, with arthrodesis, in intractable diabetic neuropathic arthropathy of the foot and ankle. J Bone Joint Surg [Am] 1993;75-A: 1056\u201366.","DOI":"10.2106\/00004623-199307000-00012"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Johnson JH. Neuropathic fractures and joint injuries: pathogenesis and rationale of prevention and treatment. J Bone Joint Surg [Am] 1967;49-A:1\u201330.","DOI":"10.2106\/00004623-196749010-00001"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Saltzman CL, Fehrle MJ, Cooper RR, Spenser EC, Ponseti IV. Triple arthrodesis: twenty five and forty four-year follow-up of the same patients. J Bone Joint Surg [Am] 1999;81-A:1391\u2013402.","DOI":"10.2106\/00004623-199910000-00004"},{"key":"R15","unstructured":"Eichenholtz SN. Charcot joints. Springfield: Charles C Thomas, 1966."},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.3109\/02844319109111276"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1016\/0958-2592(95)90047-0"},{"key":"R18","unstructured":"Warren AG. The surgical conservation of the neuropathic foot. Ann Royal Coll Surg Engl 1989;71:236\u201342."},{"key":"R19","unstructured":"Warren G. Neuropathic feet. In: Schwarz RJ, Brandsma WB, eds. Surgical reconstruction and rehabilitation in leprosy and other peripheral neuropathies. Kathmandu: EKTA, 2004:147\u201374."}],"container-title":["The Journal of Bone and Joint Surgery. 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