Publication Name	World Journal of Orthopedics
Manuscript ID	114757
Country	Egypt

Category	Orthopedics
Manuscript Type	Retrospective Cohort Study
Article Title	Trans-malleolar tibiotalocalcaneal fusion with biologic augmentation and fibular preservation for chronic Charcot ankle arthropathy: A retrospective cohort study
Manuscript Source	Unsolicited Manuscript
All Author List	Mohamed M Elalfy, Osama M Embaby, Orjwan A Abulaban, Ahmed N Aladl, Mohamed Abdelrazek, Khaled Youssef, Mohammed H Abushal and Farid Kassab
Funding Agency and Grant Number
Corresponding Author	Mohamed M Elalfy, MD, Department of Orthopedic Surgery, Mansoura University Hospitals, El Gomhoureya Street, Dakahlia 35516, Mansoura, Egypt. drmelalfy@mans.edu.eg
Key Words	Charcot arthropathy; Ankle fusion; Tibiotalocalcaneal fusion; Bone marrow aspirate; Biologic augmentation; Trans-malleolar approach; Fibular preservation
Core Tip	This retrospective case series evaluates a trans-malleolar tibiotalocalcaneal fusion with biologic augmentation while preserving the fibula for chronic Charcot neuroarthropathy of the ankle. The technique aims to enhance stability, promote fusion, and reduce wound morbidity by avoiding fibular osteotomy and supplementing fixation with orthobiologics. We report limb-salvage, fusion, alignment, and complication outcomes, demonstrating consistent union and acceptable risks in a high-risk cohort. Trans-malleolar tibiotalocalcaneal fusion with fibular preservation is a pragmatic, tissue-sparing option for complex Charcot neuroarthropathy ankles.
Citation	Elalfy MM, Embaby OM, Abulabn OA, Aladl AN, Abdelrazek M, Youssef K, Abushal MH, Kassab F. Trans-malleolar tibiotalocalcaneal fusion with biologic augmentation and fibular preservation for chronic Charcot ankle arthropathy: A retrospective cohort study. World J Orthop 2026; In press

Received	2025-09-28 11:14
Peer-Review Started	2025-09-28 11:14
First Decision by Editorial Office Director	2025-11-14 06:49
Return for Revision	2025-11-14 06:49
Revised	2025-11-17 22:30
Publication Fee Transferred	2025-11-19 22:48
Second Decision by Editor	2026-01-12 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-12 06:59
Articles in Press	2026-01-12 06:59
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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