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A crossed-screw technique was used. Two screws were used in eight patients and three screws in nine. Additional graft from the malleoli was used in all patients. The mean follow-up was 26 months (12 to 48) and the mean time to union was 5.8 months (4 to 8). A stable ankle was achieved in 14 patients (82.4%), nine of whom had bony fusion and five had a stiff fibrous union. The results were significantly better in underweight patients, in those in whom surgery had been performed three to six months after the onset of acute Charcot arthropathy, in those who had received anti-resorptive medication during the acute stage, in those without extensive peripheral neuropathy, and in those with adequate peripheral oxygen saturation (&gt; 95%). The arthrodesis failed because of avascular necrosis of the talus in only three patients (17.6%), who developed grossly unstable, ulcerated hindfeet, and required below-knee amputation. <\/jats:p>","DOI":"10.1302\/0301-620x.90b7.20090","type":"journal-article","created":{"date-parts":[[2008,6,30]],"date-time":"2008-06-30T21:38:26Z","timestamp":1214861906000},"page":"906-914","source":"Crossref","is-referenced-by-count":44,"title":["Ankle fractures in diabetic neuropathic arthropathy"],"prefix":"10.1302","volume":"90-B","author":[{"given":"M. A.","family":"Ayoub","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, University of Tanta, Al-Geish Street, Tanta, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Johnson JE. Surgical treatment for neuropathic arthropathy of the foot and ankle. 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