PMC6416671_01
Physical examination of the first case. On the physical examination, there were supinatus and adductus deformity of right foot, minimal swelling, scar and no redness nor sinus.
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From physical examination, we found supinatus and adductus deformity of right foot, minimal swelling, scar and no redness nor sinus. (Fig. 1).
Computed Tomography (CT) Scan examination of the right foot of the first case. Destruction of tibia-fibula distal bone, talus, calcaneus and tarsal bone was observed. Hyperthrophy of metatarsal 1-5, pin on tibia with penetration soft tissue, narrowing of ankle joint, soft tissue oedema which consistent with a charcot arthropathy of right ankle-foot with pin penetration soft tissue.
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Hyperthrophy of metatarsal 1-5, pin on tibia with penetration soft tissue, narrowing of ankle joint, soft tissue oedema which consistent with a charcot arthropathy of right ankle-foot with pin penetration soft tissue (Fig. 2).
Arthrodesis of CN of the foot by IM nailing with ETN in the first case. After arthrodesis, we corrected the deformity with osteotome os talus on medial and lateral side, and also Achilles tendon lengthening. The joint surfaces of the talus and distal tibia were decorticated. The ankle was brought on fusion position, then we made incision 2 cm on heel to guide wire insertion from distal side of calcaneus through talus, and its position confirmed radiologically. We performed the stability test to prove the arthrodesis, and we got the arthrodesis of the ankle achieved.
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We performed the stability test to prove the arthrodesis, and we got the arthrodesis of the ankle achieved (Fig. 3).
PMC6416671_02
Physical examination and radiography of second case. (A) Physical examintions and (B) radiography showed rocker bottom deformity of the left foot. (C) Radiograpy of the left foot after CCT arthrodesis using ETN.
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Type 2 Diabetes Mellitus presenting with a rocker bottom deformity of the left foot performed the CCT arthrodesis using ETN (Fig. 4). This patient was prescribed glimepiride and metformine but did not consume routinely.
Graph depicting the SF-36 score at pre-, immediately post-, and 3 months post-operatively in the second case. Mean SF-36 score preoperatively were 28.4 for physical condition, 37.3 for mental condition and improved to 48.6 for physical condition and 67.2 for mental condition 3 months after surgery.
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Meanwhile mean SF-36 score preoperatively were 28.4 for physical condition, 37.3 for mental condition and improved to 48.6 for physical condition and 67.2 for mental condition 3 months after surgery (Fig. 5).