{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T03:02:48Z","timestamp":1778814168996,"version":"3.51.4"},"reference-count":17,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T00:00:00Z","timestamp":1254355200000},"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":[[2009,10]]},"abstract":"<jats:p>Charcot osteoarthropathy of the foot is a chronic and progressive disease of bone and joint associated with a risk of amputation. The main problems encountered in this process are osteopenia, fragmentation of the bones of the foot and ankle, joint subluxation or even dislocation, ulceration of the skin and the development of deep sepsis. We report our experience of a series of 20 patients with Charcot osteoarthropathy of the foot and ankle treated with an Ilizarov external fixator. The mean age of the group was 30 years (21 to 50). Diabetes mellitus was the underlying cause in 18 patients. Five had chronic ulcers involving the foot and ankle. Each patient had an open lengthening of the tendo Achillis with excision of all necrotic and loose bone from the ankle, subtalar and midtarsal joints when needed. The resulting defect was packed with corticocancellous bone graft harvested from the iliac crest and an Ilizarov external fixator was applied. Arthrodesis was achieved after a mean of 18 weeks (15 to 20), with healing of the skin ulcers. Pin track infection was not uncommon, but no frame had to be removed before the arthrodesis was sound.<\/jats:p><jats:p>Every patient was able to resume wearing regular shoes after a mean of 26.5 weeks (20 to 45).<\/jats:p>","DOI":"10.1302\/0301-620x.91b10.22431","type":"journal-article","created":{"date-parts":[[2009,9,30]],"date-time":"2009-09-30T21:33:15Z","timestamp":1254346395000},"page":"1322-1325","source":"Crossref","is-referenced-by-count":45,"title":["The management of Charcot joint disease affecting the ankle and foot by arthrodesis controlled by an Ilizarov frame"],"prefix":"10.1302","volume":"91-B","author":[{"given":"K. A. M.","family":"El-Gafary","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Assiut University, P O Box 71515, Assiut City, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. M.","family":"Mostafa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Assiut University, P O Box 71515, Assiut City, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. Y.","family":"Al-adly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Assiut University, P O Box 71515, Assiut City, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.1.34"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.451"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199705)14:5<357::AID-DIA341>3.0.CO;2-8"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1177\/1534734605280447"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Jeffcoate WJ, Game F, Cavanagh PR.The role of proinflammatory cytokines in the cause of neuropathic osteoarthropathy in diabetes. 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London: Informa Healthcare, 2007:221\u201332."},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Armstrong DG, Lavery LA, Harkless LB.Who is at risk for diabetic foot ulceration? Clin Podiat Med Surg 1998;15:11\u201319.","DOI":"10.1016\/S0891-8422(23)01025-X"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Armstrong DG, Lavery LA.Elevated peak plantar pressures in patients who have Charcot arthropathy. J Bone Joint Surg [Am] 1998;80-A:365\u20139.","DOI":"10.2106\/00004623-199803000-00009"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Simon SR, Tejwani SG, Wilson DL, Santner TJ, Denniston NL.Arthrodesis as an early alternative to non-operative management of Charcot arthropathy of the diabetic foot. J Bone Joint Surg [Am] 2000;82-A:939\u201350.","DOI":"10.2106\/00004623-200007000-00005"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-92-8-429"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(02)00019-0"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300209"}],"container-title":["The Journal of Bone and Joint Surgery. 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