Tibiotalocalcaneal fusion in Charcot ankle arthropathy: Technical and biological considerations

doi:10.5312/wjo.v17.i6.119597

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Jun 18, 2026; 17(6): 119597
Published online Jun 18, 2026. doi: 10.5312/wjo.v17.i6.119597

Tibiotalocalcaneal fusion in Charcot ankle arthropathy: Technical and biological considerations

Khaled M Emara, Mohamed O Eissa

Khaled M Emara, Mohamed O Eissa, Department of Orthopedic Surgery, Ain Shams University, Cairo 11591, Egypt

Author contributions: Emara KM carried out study conception and critical revision, prepared figures and tables; Eissa MO carried out the literature review and prepared the manuscript draft, performed data collection and analysis; and all authors read and approved the final manuscript.

AI contribution statement: AI tools (specifically Grammarly) was used solely for grammar checking and language refinement. No AI tool was involved in the generation of research data, interpretation of results, or formulation of conclusions. All AI-generated outputs were critically reviewed and revised by the authors.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Corresponding author: Mohamed O Eissa, MD, Professor, Department of Orthopedic Surgery, Ain Shams University, Abbasia Square, Cairo 11591, Egypt. mohamed.eissa@med.asu.edu.eg

Received: February 2, 2026
Revised: February 23, 2026
Accepted: May 6, 2026
Published online: June 18, 2026
Processing time: 137 Days and 7.7 Hours

Core Tip

Core Tip: Charcot neuroarthropathy requires early diagnosis, strict offloading, and stage-specific treatment. Most acute cases are managed conservatively, but advanced hindfoot and ankle deformity often require tibiotalocalcaneal fusion. Success depends on rigid fixation, biological support, and careful postoperative protection.