Failure of knee osteotomy in a case of neuropathic arthropathy of the knee

Francesco Traina, Marcello De Fine, Caterina Novella Abati, Ideal Frakulli, Aldo Toni

Research output: Contribution to journalArticle

Abstract

Neuropathic arthropathy (Charcot's joint) is a degenerative process that affects peripheral or vertebral joints as a consequence of a disturbance in proprioception and pain perception. The knee is one of the most frequently affected joints, but even when the diagnosis is made at an early stage there is no consensus on the best treatment options. An early diagnosis of neurosyphilis was made in a 55-year-old woman presenting a delayed union of an asymptomatic Schatzker type IV fracture of the proximal tibia. A medial opening wedge tibial osteotomy was performed to achieve fracture healing, to correct the medial depression of the articular surface, and possibly to avoid an early arthritis typical of the disease. To our knowledge, a knee osteotomy has never been reported at an early stage of neuropathic arthropathy. Even though the clinical and radiographic evaluation performed at 4 months follow-up showed a good stage of healing of the osteotomy and no typical features of neuropathic joint degeneration, at 8 months follow-up the knee was markedly deranged.

Original languageEnglish
Pages (from-to)107-110
Number of pages4
JournalJournal of Orthopaedics and Traumatology
Volume12
Issue number2
DOIs
Publication statusPublished - Jun 2011

Keywords

  • Knee
  • Neuropathic arthropathy
  • Osteotomy
  • Schatzker fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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