당뇨병 및 말기신부전을 동반한 당뇨 환자의 발목 골절 후 발생한 샤르코 관절병증 치료: 증례 보고

Charcot neuroarthropathy (CN), also known as Charcot arthropathy, is a complex, progressive disorder primarily affecting the foot and ankle. This case report describes a multifaceted management strategy for a 54-year-old male with diabetes mellitus, end-stage renal disease, and presumed underlying C...

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Bibliographic Details
Published in:대한족부족관절학회지 Vol. 29; no. 1; pp. 34 - 40
Main Authors: 최길원, 임정원, 박승환, Gil-Won Choi, Jung-Won Lim, Seung-Hwan Park
Format: Journal Article
Language:Korean
Published: 대한족부족관절학회 01.03.2025
Subjects:
정형외과학
Multidisciplinary approach
Traumatic ankle fracture
Charcot neuroarthropathy
Tibiotalocalcaneal fusion
Patient-centered care
ISSN:1738-3757, 2288-8551
Online Access:Get full text
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Summary:Charcot neuroarthropathy (CN), also known as Charcot arthropathy, is a complex, progressive disorder primarily affecting the foot and ankle. This case report describes a multifaceted management strategy for a 54-year-old male with diabetes mellitus, end-stage renal disease, and presumed underlying Charcot arthropathy who experienced a traumatic ankle fracture. The initial surgical plans were delayed because of systemic infection indicators, including elevated C-reactive protein levels and high fever. The patient underwent multiple surgical interventions and faced challenges, including metal failure, implant-associated infection, and tibiotalar joint dislocation. A multidisciplinary approach involving orthopedic surgeons, nephrologists, and endocrinologists was crucial for managing the case effectively. In particular, the patient declined a below-knee amputation and opted for comprehensive surgical intervention, resulting in improved functionality at the latest follow-up. This case highlights the complexities of managing CN in patients with multiple comorbidities and emphasizes the need for a nuanced, patient-centered approach.
Bibliography:KISTI1.1003/JNL.JAKO202510764803199
ISSN:1738-3757
2288-8551
DOI:10.14193/jkfas.2025.29.1.34