1型糖尿病患者膝关节夏科氏神经关节病：全膝关节置换术治疗
Charcot neuroarthropathy of the knee in Type 1 diabetes: treatment with total knee arthroplasty.
作者信息
Lambert A P, Close C F
机构信息
Department of Diabetes, Taunton and Somerset Hospital, Taunton, UK.
出版信息
Diabet Med. 2002 Apr;19(4):338-41. doi: 10.1046/j.1464-5491.2002.00704.x.
BACKGROUND
Charcot neuroarthropathy is well recognized in diabetes, although it typically affects the joints of the forefoot and ankle. Neuroarthropathy affecting the knee in diabetes is extremely rare. The surgical options for treatment of Charcot neuroarthropathy remain poorly defined, particularly the use of arthroplasty with knee involvement.
METHODS
We describe a case of neuroarthropathy of the knee in a patient with Type 1 diabetes. We also describe the successful management of the disorder with total knee arthroplasty-only the third such description.
RESULTS
The case illustrates some of the typical radiological features of this uncommon condition, which may aid early diagnosis and limit morbidity.
背景
夏科氏关节病在糖尿病患者中较为常见，尽管其通常影响前足和踝关节。糖尿病患者中影响膝关节的关节病极为罕见。治疗夏科氏关节病的手术选择仍不明确，尤其是膝关节受累时关节成形术的应用。
方法
我们描述了1例1型糖尿病患者膝关节关节病的病例。我们还描述了通过全膝关节置换成功治疗该疾病的过程——这是仅有的第三例此类描述。
结果
该病例说明了这种罕见疾病的一些典型放射学特征，这可能有助于早期诊断并降低发病率。
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