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What the Physician Needs to Know about Charcot Arthropathy and Ankle Fracture Treatment Dilemma: A Case Report and a
Maria Tsatlidou1, Angelo V Vasiliadis1,2, Dimitrios Metaxiotis1
1nd Orthopaedic Department, General Hospital of Thessaloniki "Papageorgiou", 56429 Thessaloniki, Greece.
Introduction:
Charcot arthropathy consists of a rapid and destructive complication of the joints following the loss of innervation caused by many complicated etiologies. Diabetic neuropathy has become the most common etiological factor.
Case Report:
We present a case of a 64-year-old female patient with a history of chronic renal failure on hemodialysis, hypertension, hypothyroidism, and Type 2 diabetes, complicated with neuropathy and Charcot disease, who referred to our department. Initially, the patient was managed with a restraint orthotic device due to a bimalleolar ankle fracture. An unsuccessful treatment and the presence of a pressure ulcer with pus-like drainage on the lateral malleolus 2 months later led to the decision for a below-knee amputation.
Conclusion:
High clinical suspicion by the attending physician may reduce the risk of complications and lead to proper treatment with better outcomes.
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