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Charcot's joint following Keller arthroplasty. A case report
M T Darst1, T D Weaver, B Zangwill
1Veterans Health Administration Medical Center, Lebanon, PA 17042, USA.
Summary
Neuropathic osteoarthropathy, or Charcot's joint, is a rare complication following elective foot surgery. This case highlights its occurrence after a Keller arthroplasty in a diabetic patient with neuropathy.
Area of Science:
- Orthopedic Surgery
- Diabetic Foot Complications
- Rheumatology
Background:
- Neuropathic osteoarthropathy (Charcot's joint) is typically associated with conditions like diabetes mellitus and peripheral neuropathy.
- Elective foot surgery is not commonly recognized as a precipitating factor for Charcot's joint development.
Observation:
- A patient with long-standing diabetes mellitus and peripheral neuropathy developed neuropathic osteoarthropathy.
- This complication occurred subsequent to a Keller arthroplasty performed for a hallux ulcer.
Findings:
- The study details the radiographic, diagnostic, and histopathological findings of this unique case.
- Charcot's joint development post-Keller arthroplasty in a neuropathic diabetic foot is presented.
Implications:
- This case suggests that elective foot surgery, such as Keller arthroplasty, may pose a risk for developing neuropathic osteoarthropathy in susceptible patients.
- Recommendations are provided for surgeons considering Keller arthroplasty in patients with peripheral neuropathy to mitigate this risk.