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Case Reports in Orthopedics
Volume 2016 (2016), Article ID 3204813, 4 pages
http://dx.doi.org/10.1155/2016/3204813
Case Report

Bilateral Diabetic Knee Neuroarthropathy in a Forty-Year-Old Patient

Department of Orthopedics and Traumatology, Lausanne University Hospital, rue du Bugnon 46, 1011 Lausanne, Switzerland

Received 18 June 2016; Accepted 22 August 2016

Academic Editor: Bayram Unver

Copyright © 2016 Patrick Goetti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diabetic osteoarthropathy is a rare cause of neuropathic joint disease of the knee; bilateral involvement is even more exceptional. Diagnosis is often made late due to its unspecific symptoms and appropriate surgical management still needs to be defined, due to lack of evidence because of the disease’s low incidence. We report the case of a forty-year-old woman with history of diabetes type I who developed bilateral destructive Charcot knee arthropathy. Bilateral total knee arthroplasty was performed in order to achieve maximal functional outcome. Follow-up was marked by bilateral tibial periprosthetic fractures treated by osteosynthesis with a satisfactory outcome. The diagnosis of Charcot arthropathy should always be in mind when dealing with atraumatic joint destruction in diabetic patients. Arthroplasty should be considered as an alternative to arthrodesis in bilateral involvement in young patients.