Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient
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 diseas...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/3204813 |
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| _version_ | 1832561969160257536 |
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| author | Patrick Goetti Nicolas Gallusser Olivier Borens |
| author_facet | Patrick Goetti Nicolas Gallusser Olivier Borens |
| author_sort | Patrick Goetti |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3ea495b7fce3411a84fd34842b5c6a22 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-3ea495b7fce3411a84fd34842b5c6a222025-02-03T01:23:43ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/32048133204813Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old PatientPatrick Goetti0Nicolas Gallusser1Olivier Borens2Department of Orthopedics and Traumatology, Lausanne University Hospital, rue du Bugnon 46, 1011 Lausanne, SwitzerlandDepartment of Orthopedics and Traumatology, Lausanne University Hospital, rue du Bugnon 46, 1011 Lausanne, SwitzerlandDepartment of Orthopedics and Traumatology, Lausanne University Hospital, rue du Bugnon 46, 1011 Lausanne, SwitzerlandDiabetic 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.http://dx.doi.org/10.1155/2016/3204813 |
| spellingShingle | Patrick Goetti Nicolas Gallusser Olivier Borens Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient Case Reports in Orthopedics |
| title | Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient |
| title_full | Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient |
| title_fullStr | Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient |
| title_full_unstemmed | Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient |
| title_short | Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient |
| title_sort | bilateral diabetic knee neuroarthropathy in a forty year old patient |
| url | http://dx.doi.org/10.1155/2016/3204813 |
| work_keys_str_mv | AT patrickgoetti bilateraldiabetickneeneuroarthropathyinafortyyearoldpatient AT nicolasgallusser bilateraldiabetickneeneuroarthropathyinafortyyearoldpatient AT olivierborens bilateraldiabetickneeneuroarthropathyinafortyyearoldpatient |