Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
Online Publication Date:
Mar 1998

Charcot's joint following Keller arthroplasty. A case report

MT Darst Veterans Health Administration Medical Center, Lebanon, PA 17042, USA.

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TD Weaver Veterans Health Administration Medical Center, Lebanon, PA 17042, USA.

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B Zangwill Veterans Health Administration Medical Center, Lebanon, PA 17042, USA.

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DOI:
https://doi.org/10.7547/87507315-88-3-140
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Neuropathic osteoarthropathy, i.e., Charcot's joint, has not previously been reported as a sequela of elective foot surgery. The authors present a challenging case of a patient with long-standing diabetes mellitus and peripheral neuropathy who developed neuropathic osteoarthropathy after a Keller arthroplasty for a recalcitrant hallux ulcer. The radiographic findings, diagnostic tests, and histopathology are discussed. Finally, the authors offer suggestions for surgeons contemplating a Keller arthroplasty for patients with peripheral neuropathy.

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