Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient.

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State: Serval
Version: Final published version
Serval ID
serval:BIB_0133A7FBAF65
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient.
Journal
Case reports in orthopedics
Author(s)
Goetti P., Gallusser N., Borens O.
ISSN
2090-6749 (Print)
ISSN-L
2090-6757
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
2016
Pages
3204813
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Diabetic osteoarthropathy is a rare cause of neuropathic joint disease of the knee; bilateral involvement is even more exceptional. Diagnosis is often made late due to its unspecific symptoms and appropriate surgical management still needs to be defined, due to lack of evidence because of the disease's low incidence. We report the case of a forty-year-old woman with history of diabetes type I who developed bilateral destructive Charcot knee arthropathy. Bilateral total knee arthroplasty was performed in order to achieve maximal functional outcome. Follow-up was marked by bilateral tibial periprosthetic fractures treated by osteosynthesis with a satisfactory outcome. The diagnosis of Charcot arthropathy should always be in mind when dealing with atraumatic joint destruction in diabetic patients. Arthroplasty should be considered as an alternative to arthrodesis in bilateral involvement in young patients.

Pubmed
Open Access
Yes
Create date
29/09/2016 18:40
Last modification date
08/05/2019 13:40
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