Charcot arthropathy is a complex disease secondary to neuropathic foot caused by a multitude of diseases. However, the prevalent underlying disease is diabetes mellitus. The cascade of continuous bone destruction and remodeling leads to further bone deformities which if left untreated, may develop into infection and ultimately leading to amputation of the limb. As the majority of cases present at a much later stage, there is often significant bone loss further complicating treatment options. Despite the severe deformity, literature has shown good functional results with appropriate surgical treatment as in our case of Charcot arthropathy treated with ankle arthrodesis augmented with a femoral head bone graft which resulted in well healed wound with no signs of infection and good callus formation. Use of an allograft bone block in cases with extensive bone lost remains a significant option and facilitates patients who undergo surgery to fare better despite nonunion.
Arthropathy, Neurogenic

A Rare Case of Osteogenesis Imperfecta Type V Osteogenesis imperfecta (OI) is a hereditary bone condition characterised by fragile bones to be more susceptible to fracture. We reported a rare case of a 6-year-old girl with OI Type V and hyperplastic callus formation. She presented with recurrent fractures since birth with no family history of a similar condition. Clinically, her height and weight were lower than the 5th percentile for her age. She had deformities with limitation of movement of elbows, kyphoscoliosis, a more extensive right thigh, and anterior bowing of both legs. Radiographic examination revealed interosseous membrane of forearm ossification, dislocation of the right radial head and hyper-callosity of both femurs during fracture healing. She was treated with intravenous pamidronate and had posterior instrumentation and fusion for scoliosis and intramedullary rodding for her femur fracture. On a recent follow-up at the age of 16 years, she was ambulating well with no progression of the spinal deformity.