Author(s)

Sami Nogdallah¹, Mohanad Osman Ibrahim Abd-Elseed², Alaa Mohamed Mohamed Khairy², Osama Gamal Nubi³, Montaser Fatooh¹, Hozifa Mohammed Ali Abd-Elmaged⁴

¹Department of Orthopedics, Alneelain University, Khartoum, Sudan.
²Department of Orthopedics, Orthopaedic Registrar Sudan Medical Specialization Board, Khartoum, Sudan.
³Department of Orthopedics, Bashaer University Hospital, MBBS Al Neelan University, Khartoum, Sudan.
⁴Department of Orthopedics, Alzaiem Alazhari University, Khartoum, Sudan.

Background: Hindfoot fusion, is a fusion of the talonavicular, talocalcaneal, and calcaneocuboid joints and is commonly performed for patients complaining of pain, chronic instability and gross deformity as a result of hindfoot pathology. Objective: This study aimed to assess the functional outcomes of the patients underwent hindfoot fusion, the post-operative complications and patient’s satisfaction. Methodology: This study is a prospective cohort study was conducted in Future hospital, in Khartoum, Sudan. It involved 30 patients from July 2015-July 2022. Data was collected by the primary researcher using data collection sheet, then it was cleaned and entered into Microsoft excel data sheet and was analysed using SPSS version 28 software. Results: 33.3% of the patients are aged 51 - 60 years, and >60 years. Male: Female equals 1:1. 56.7% are for the left side, only 23.3% developed complications. 63.3% patients are fully satisfied. There is a significant correlation between the AOFAS score before and after the operation. Also, a significant correlation between the means of AOFAS score after with the complications and the satisfaction of the patients. Conclusion: Minimally invasive tibio-talo-calcaneal is an alternative procedure for the treatment of severe Charcot arthropathy of the ankle. The expected functional outcome is impressive and comparable with the open surgery. However, the post-operative complications are prevalent in 23.3% of patients. Most candidates are fully satisfied with the procedure.

Ankle, Sudan, Patient Satisfaction, Arthropathy, Neurogenic

Nogdallah, S. , Abd-Elseed, M. , Khairy, A. , Nubi, O. , Fatooh, M. and Abd-Elmaged, H. (2023) Minimally Invasive Hind-Foot Fusion in Charcot Patients. Open Journal of Orthopedics, 13, 477-484. doi: 10.4236/ojo.2023.1311046.