Open AccessSalvage of Chronic Therapy‐Resistant Bilateral Charcot Foot Osteoarthropathy with Signs of Osteomyelitis
Author(s) -
Kidron Ariel,
Nguyen Hiep H.,
Bayer Jack,
Durkin Michael,
Harris Daniel,
Dang Helen,
Diehl Matt,
Silver Larry
Publication year - 2022
Publication title -
orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 23
eISSN - 1757-7861
pISSN - 1757-7853
DOI - 10.1111/os.13299
Subject(s) - medicine , spinal osteoarthropathy , surgery , osteomyelitis , amputation , foot (prosody) , complication , arthropathy , arthrodesis , presentation (obstetrics) , diabetic foot , diabetes mellitus , osteoarthritis , linguistics , philosophy , alternative medicine , pathology , endocrinology
Charcot arthropathy is an insidious condition affecting the lower limbs of diabetic patients. It is a complication of diabetic neuropathy resulting from subsequent Wallerian degeneration of the nerves. This complication may eventually lead to limb amputation and a poor patient prognosis if not diagnosed and treated successfully. Herein, we report the case of a 73‐year‐old female who presented with rapidly progressive bilateral Charcot foot over a 5‐week period, necessitating an exostectomy on the mid foot, specifically on the cuboid bone and the navicular cuneiform joint. Her presentation with rapidly progressing foot ulcers on the plantar aspect prompted initial treatment based on osteomyelitis. The report will therefore serve as a useful guide on how to properly treat Charcot foot, which may present in an atypical manner.