Du W, Dai R, Chen R, Shen F. Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review.
J Int Med Res 2021;
49:3000605211058871. [PMID:
34812073 PMCID:
PMC8649473 DOI:
10.1177/03000605211058871]
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Abstract
Charcot arthropathy is a type of destructive osteoarthropathy characterized by
neurotrophic and sensory disorders. The condition is relatively rare, with an
insidious onset, and it is easily misdiagnosed. Total knee arthroplasty (TKA)
can cause excessive joint wear, continuous inflammatory stimulation of the
prosthesis, postoperative residual cavity, prosthesis loosening and subsidence,
peripheral fracture, infection, and other complications. Furthermore, these
complications are more likely to occur in patients with Charcot arthropathy
because of disease-specific pathological characteristics, when TKA is performed.
Therefore, Charcot arthropathy was once a contraindication to TKA. Recently,
with the optimization of joint prostheses and the maturity of surgical
techniques, more studies have reported successful cases of TKA in patients with
Charcot arthropathy. We report a case of Charcot arthropathy in our hospital,
and describe the patient’s medical history, clinical symptoms, signs, imaging
findings, diagnosis, and the entire TKA process, to explore the TKA strategy and
prosthesis selection in a patient with Charcot arthropathy.
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