Cementless total ankle arthroplasty in diabetic neuropathic arthropathy.
BACKGROUND
Neuropathic arthropathy (Charcot joint) is a progressive degenerative disease of a joint that may lead to severe deformity and dysfunction and it is now recognized that diabetes is the leading cause of Charcot joint. When the ankle is involved and conservative treatment fails arthrodesis has commonly been performed, whereas arthroplasty has previously been considered to be contraindicated. A total ankle arthroplasty in Charcot ankle has not been previously reported.


METHODS
We report the case of a 45-year old, diabetic woman with unilateral Charcot ankle.


CONCLUSIONS
The woman successfully completed a rehabilitation programme and, 2 years after total ankle arthroplasty, achieved independence.
Lee
K-B
KB
Department of Orthopedic Surgery, Chonnam National University Medical School and Hospital, Dong-Gu, Gwangju, Korea. kbleeos@chonnam.ac.kr
Cho
S-G
SG
Seon
J-K
JK
D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery; D001177:Arthropathy, Neurogenic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000601:surgery*; D003929:Diabetic Neuropathies / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D003930:Diabetic Retinopathy / Q000150:complications*; D005260:Female; D005531:Foot Deformities, Acquired / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D016896:Treatment Outcome