ArticleFrontiers in surgery2026
Case Report: Tibial plateau fracture in Charcot neuroarthropathy: a report of two cases with contrasting outcomes.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Charcot neuroarthropathy (CNA) is a debilitating complication of diabetes mellitus that often poses diagnostic challenges, particularly when associated with fractures around the knee joint. This case series describes two contrasting cases of CNA manifesting as tibial plateau fractures in patients with type 2 diabetes. In the first case, a 55-year-old woman with poorly controlled diabetes sustained a tibial plateau fracture following a minor sprain. The fracture was misdiagnosed as an old comminuted tibial plateau fracture, and the patient underwent open reduction and internal fixation (ORIF) with iliac bone grafting. Intraoperative findings revealed severe bone fragmentation, osteolysis, and osteoporosis-features suggestive of underlying CNA, which were not recognized at the time. The surgery ultimately failed because of implant displacement and osteochondral collapse. In the second case, a 65-year-old man with well-controlled diabetes presented with acute knee pain and swelling after minimal trauma. Early diagnosis of CNA (modified Eichenholtz stage I) was established, and following a period of conservative management, the patient underwent total knee arthroplasty with stemmed components. At 9-year follow-up, the patient remained free of complications with satisfactory joint function. These cases highlight the critical importance of maintaining a high index of suspicion for CNA in diabetic patients presenting with fractures that are disproportionate to the mechanism of injury. Early recognition is essential to avoid inappropriate surgical interventions, and when joint destruction is advanced, total knee arthroplasty can yield durable long-term outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.