Case Report: Tibial plateau fracture in Charcot neuroarthropathy: a report of two cases with contrasting outcomes - Takeaways - MDSpire

Case Report: Tibial plateau fracture in Charcot neuroarthropathy: a report of two cases with contrasting outcomes

  • By

  • Weikun Li

  • Yan Zhang

  • Hui Wang

  • May 28, 2026

  • 0 min

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  • 1

    Charcot neuroarthropathy (CNA) complicates diabetes and poses diagnostic challenges, especially with tibial plateau fractures.

  • 2

    Misdiagnosis of CNA can lead to inappropriate surgical interventions, resulting in high failure rates due to poor bone quality.

  • 3

    Early recognition of CNA allows for appropriate management, including conservative treatment and eventual total knee arthroplasty.

  • 4

    The first case illustrates the consequences of misdiagnosis, while the second case shows favorable outcomes with timely intervention.

  • 5

    Maintaining a high index of suspicion for CNA in diabetic patients is crucial when fractures occur with minimal trauma.

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