Charcot's joint following Keller arthroplasty. A case report.
Neuropathic osteoarthropathy, i.e., Charcot's joint, has not previously been reported as a sequela of elective foot surgery. The authors present a challenging case of a patient with long-standing diabetes mellitus and peripheral neuropathy who developed neuropathic osteoarthropathy after a Keller arthroplasty for a recalcitrant hallux ulcer. The radiographic findings, diagnostic tests, and histopathology are discussed. Finally, the authors offer suggestions for surgeons contemplating a Keller arthroplasty for patients with peripheral neuropathy.
Darst
M T
MT
Veterans Health Administration Medical Center, Lebanon, PA 17042, USA.
Weaver
T D
TD
Zangwill
B
B
D001177:Arthropathy, Neurogenic / Q000209:etiology* / Q000628:therapy; D001178:Arthroplasty / Q000009:adverse effects*; D017719:Diabetic Foot / Q000601:surgery*; D006214:Hallux; D006801:Humans; D008297:Male; D008875:Middle Aged