{Reference Type}: Case Reports
{Title}: What the Physician Needs to Know about Charcot Arthropathy and Ankle Fracture Treatment Dilemma: A Case Report and a Possible Medical Approach and Treatment Algorithm.
{Author}: Tsatlidou M;Vasiliadis AV;Metaxiotis D;
{Journal}: J Orthop Case Rep
{Volume}: 14
{Issue}: 6
{Year}: 2024 Jun
暂无{DOI}: 10.13107/jocr.2024.v14.i06.4498
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>High clinical suspicion by the attending physician may reduce the risk of complications and lead to proper treatment with better outcomes.