Evidence map›Paper›PMID 41162948›Full record

ReviewBMC musculoskeletal disorders2025

Hinged total knee arthroplasty in two female patients with type 1 diabetes-associated charcot neuroarthropathy: case reports and a review of the literature series.

Chao Lei, Wen-Zhou Huang, Lin Mei, Kuo Sun, Xin-Zhan Mao

Abstract readCase ReportsReview
In one paragraph

Review in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Chao Lei *Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
Wen-Zhou Huang *Department of Orthopaedic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, 330006, China.
Lin MeiDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
Kuo Sun *Department of Orthopaedic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, 330006, China. 18172817886@163.com.
Xin-Zhan Mao *Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, 410011, China. xinzhan.mao@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCharcot neuroarthropathy (CN) is a rare musculoskeletal disorder caused by peripheral neuropathy, predominantly affecting the forefoot and ankle joints in diabetic patients. While more common in type 2 diabetes, type 1 diabetes-associated CN carries high risks of disability and mortality due to delayed diagnosis and nonspecific pathophysiology. Knee joint CN in type 1 diabetes remains exceptionally rare, with limited reports on standardized management-particularly regarding knee arthroplasty outcomes. CASE PRESENTATION: We report two female type 1 diabetes patients with knee joint CN. Both presented with poorly controlled hyperglycemia (blood glucose > 20 mmol/L) and elevated HbA1c. Each underwent total knee arthroplasty (TKA); one patient additionally received autologous bone grafting with titanium mesh screw fixation for severe bone defects, Intraoperative pathological examination was performed in all cases to rule out infection.

conclusionThese cases highlight the complexity of managing knee CN in type 1 diabetes. TKA represents a viable intervention, though outcomes may vary based on surgical adjuncts like bone grafting. This report, contextualized with a literature review, underscores the need for individualized approaches in this high-risk population.

Indexed as

Arthropathy, NeurogenicArthroplasty, Replacement, KneeDiabetes Mellitus, Type 1Knee JointFemaleHumansTreatment OutcomeArthroplastyCharcot neuroarthropathyDiabetes mellitusKneeLiterature review

Identifiers

PMID41162948
PMCPMC12574165

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.