Successful treatment of nonunion with teriparatide after failed ankle arthrodesis for Charcot arthropathy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23649801.
- Also identified by DOI 10.1007/s00198-013-2367-9 and PMC identifier 3777162.
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Abstract
We describe a case of successful treatment to nonunion after multiple arthrodesis operations for Charcot arthropathy with teriparatide. We describe the case of a 25-year-old woman with severe Type I diabetes mellitus that resulted in nonunion after multiple arthrodesis operations for Charcot arthropathy. The woman sustained a femoral shaft fracture for which she underwent surgery with intramedullary nail fixation. Immediately after surgery, an empiric course of teriparatide was initiated. Femoral shaft fracture healing was observed after 2 weeks, and the woman was able to walk 12 weeks after the surgery, at which point plain film and computed tomography images revealed complete union of the ankle.
Medical subject headings
- Ankle Joint
- Arthrodesis
- Arthropathy, Neurogenic
- Bone Density Conservation Agents
- Teriparatide
- Wound Healing