Zygodactyly (Syndactyly Type A1) Associated With Midfoot Charcot Neuropathy and Diabetes

Diabetes Care ◽  
2018 ◽  
Vol 41 (5) ◽  
pp. e74-e75
Author(s):  
Dominic O. McConville ◽  
G. Pooler Archbold ◽  
Anthony Lewis ◽  
Patrick J. Morrison
Keyword(s):  
Charcot Neuropathy

scholarly journals Anatomical disorder of the diabetic foot: Charcot neuropathy

2021 ◽  
Vol 28 (1) ◽  
pp. 142-145
Author(s):  
Ece Buru ◽  
SEZAİ Özkan ◽  
Cihan Adanaş ◽  
Necip Güven ◽  
Tülin Türközü ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Charcot Neuropathy

scholarly journals Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Arata Nakajima ◽  
Shintaro Tsuge ◽  
Yasuchika Aoki ◽  
Masato Sonobe ◽  
Yoshifumi Shibata ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Heterotopic Ossification ◽  
Knee Arthroplasty ◽  
Revision Surgery ◽  
Left Knee ◽  
Charcot Arthropathy ◽  
Choice Of Treatment ◽  
Charcot Neuropathy ◽  
Total Knee ◽  
Left Calf

Although the Charcot arthropathy may be associated with serious complications, total knee arthroplasty (TKA) is the preferred choice of treatment by patients. This case report presents an 80-year-old man with intra-articular giant heterotopic ossification following loosening of femoral and tibial implants and femoral condylar fracture. He had undergone TKA because of Charcot neuropathy seven years ago and had been doing well since. Immediately after a left knee sprain, he became unable to walk. Because he had developed a skin ulcer on his left calf where methicillin-resistantStaphylococcus aureuswas detected, we postponed revision surgery until the ulcer was completely healed. While waiting, intra-articular bony fragments grew larger and formed giant heterotopic ossified masses. Eventually, the patient underwent revision surgery, and two major ossified masses were carefully and successfully extirpated. It should be noted that intra-articular heterotopic giant ossification is a significant complication after TKA for neuropathic arthropathy.

scholarly journals Charcot Foot, a Rare and Severe Complication of Diabetes Mellitus

2020 ◽  
Vol 25 (1) ◽  
pp. 32-35
Author(s):  
Alin Mihețiu ◽  
Ioana Matei ◽  
Alexandra Sandu ◽  
Elena Rizea ◽  
Sînziana Nicolae
Keyword(s):  
Diabetes Mellitus ◽  
Rare Disease ◽  
External Fixation ◽  
Acute Phase ◽  
Early Recognition ◽  
Severe Complication ◽  
Charcot Foot ◽  
Bone Damage ◽  
Patients With Diabetes ◽  
Charcot Neuropathy

AbstractCharcot foot or Charcot neuropathy is a rare disease found in patients with diabetes mellitus and is characterized by bone damage to the foot leading to deformities, instability, functional impotence and even amputation. The mechanism is still under discussion, without a consensus regarding the pathophysiology of this condition. The treatment is a complex one, non-surgical and surgical, the non-surgical one addressing especially the acute phase of the disease, the surgical one being complex and ranging from osteotomy, debridement, arthrodesis, internal or external fixation or even amputation. A good management of diabetes, of its peripheral complications, an early recognition of the Charcot type foot, prevents the evolution towards this serious condition.

scholarly journals Prognostic risk factors for complications associated with Tibiotalocalcaneal fusion with a nail

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0018
Author(s):  
Ryan Callahan ◽  
Michael Aynardi ◽  
Kempland Walley ◽  
Kaitlin Saloky ◽  
Paul Juiano
Keyword(s):  
Postoperative Complications ◽  
Diabetic Neuropathy ◽  
Complication Rate ◽  
Odds Ratio ◽  
Salvage Procedure ◽  
Hardware Failure ◽  
Asa Classification ◽  
Radiographic Outcomes ◽  
Dependent Variables ◽  
Charcot Neuropathy

Category: Ankle Introduction/Purpose: Tibiotalocalcaneal (TTC) fusion with a nail is an effective salvage procedure for several foot and ankle pathologies, but it is associated with a relatively high complication rate and often performed on patients with multiple medical comorbidities. There is a paucity of literature that aids in predicting outcomes for patients undergoing TTC fusion with a nail. Methods: Clinical and radiographic outcomes for 82 patients from 2012-2016 who underwent TTC fusion with intramedullary nailing were retrospectively evaluated. Postoperative complications of nonunion, infection, reoperation, and hardware failure were included for comparison. Patient dependent variables and surgeon dependent variables were evaluated for association with these postoperative complications. Results: The overall complication rate for TTC fusion with a nail was 47/82 (57.3%). Diabetes (p=.049), diabetic neuropathy (p=.031), ASA classification (p=.005), and Charcot neuropathy (p=.003) were associated with nonunion of either the tibiotalar or subtalar joints in 29/82 (35.3%) patients. Diabetic neuropathy was associated with need for reoperation (p=.016) in 21/82 (25.6%) patients. Diabetic neuropathy (p=.022) and HbA1C >7.5 (p=.047) was associated with hardware failure in 13/82 (15.9%) patients. The odds ratio (OR) for diabetic neuropathy was 2.99 (p=0.038) for nonunion in the tibiotalar or subtalar joints, 3.46 (p=0.021) for re-operation, and 4.11 (p=0.035) for hardware failure. High ASA classification had an odds ratio of 3.93 (p=0.006) for nonunion in the tibiotalar or subtalar joints. Conclusion: Patients with diabetic neuropathy, Charcot neuropathy, elevated HbA1C, and higher ASA classification demonstrated a higher complication rate in patients undergoing TTC fusion with a nail.

scholarly journals Cellulitis or Charcot Neuropathy in Diabetes

2005 ◽  
Vol 4 (1) ◽  
pp. 28-29
Author(s):  
Omer Mandour ◽  
◽  
Salim Elyas ◽  
Nicola Cooper ◽  
◽  
...  
Keyword(s):  
Lower Limb ◽  
Common Presentation ◽  
Patients With Diabetes ◽  
Charcot Neuropathy

Cellulitis of the lower limb is a common presentation in patients with diabetes. We report a case illustrating how Charcot neuropathy can be overlooked because of its resemblance to cellulitis.

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