“…5). In routine follow up we have seen that the patient was walking comfortably with crutches while using the brace [7]. Patient was consulted with the physical therapy and rehabilitation department for the use of bisphosphonates and medical treatment as well [11].Fig.…”
HighlightsWe report here a case of a 62 years old patient with charcot arthropathy at her left knee developed one year after spinal stenosis surgery.The patient’s knee joint was already beyond the fragmentation and coalescence stages at the moment of physical examination.Unsuccessful spinal surgery affected polyneuropathy and migrated the level of the sensorineural loss proximally.Elevated level of sensorineural loss resulted in Charcot knee joint in a short period of time.
“…5). In routine follow up we have seen that the patient was walking comfortably with crutches while using the brace [7]. Patient was consulted with the physical therapy and rehabilitation department for the use of bisphosphonates and medical treatment as well [11].Fig.…”
HighlightsWe report here a case of a 62 years old patient with charcot arthropathy at her left knee developed one year after spinal stenosis surgery.The patient’s knee joint was already beyond the fragmentation and coalescence stages at the moment of physical examination.Unsuccessful spinal surgery affected polyneuropathy and migrated the level of the sensorineural loss proximally.Elevated level of sensorineural loss resulted in Charcot knee joint in a short period of time.
“…Diabetic Charcot neuroarthropathy of the knee (CNK) is a little known condition [1,2]. Total knee arthroplasty (TKA) has been the treatment of choice but, recently, conservative treatment has been used as an alternative to surgery [1].…”
mentioning
confidence: 99%
“…Total knee arthroplasty (TKA) has been the treatment of choice but, recently, conservative treatment has been used as an alternative to surgery [1]. We report the case of a patient with type-1 diabetes mellitus (T1DM) who suffered CNK.…”
mentioning
confidence: 99%
“…Regarding treatment options, recent published cases have shown good results after TKA in patients with CNK [2]. As an optimal alternative to surgery, Illgner et al [1] have proposed conservative treatment, resembling to a treatment plan for Charcot neuroarthropathy of the foot. In our patient, external fixator was partially ineffective as she showed delayed bone healing.…”
“…rheumatic diseases, alcohol abuse, toxicity [3,4]. CN is not only seen in feet but in knees and hands as well [5,6]. It is necessary to understand the exact pathological mechanism and correlates of CN to be able to find a test and further on a treatment.…”
Background: Charcot Neuropathy is a severe complication of patients with neuropathy mostly seen in the foot, but it can also appear in the knee or hand. Not only diabetic patients are involved. CN can lead to a complete collapse of the foot with subsequent ulceration and infection. The mechanism of this episode-like breakdown has not been understood so far. CN still remains mainly a clinical diagnosis depended on clinical experience because there is still no reliable and specific test even though imaging has improved. X-rays represent the traditional way to diagnose CN according to the classification of Eichenholtz of 1967. But at the time these alterations become visible, the bone is already damaged. Therefore Shiabata introduced the MRI as Stage 0 into this existing classification. New approaches using CT or PET/CT have been published.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
