Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review

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 stimulati...

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Autores principales:	Weibin Du, Rongdan Dai, Rongliang Chen, Fuxiang Shen
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a134255711774831bd147ca94bf79724
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spelling	oai:doaj.org-article:a134255711774831bd147ca94bf797242021-12-02T03:03:39ZRotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review1473-230010.1177/03000605211058871https://doaj.org/article/a134255711774831bd147ca94bf797242021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058871https://doaj.org/toc/1473-2300Charcot 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.Weibin DuRongdan DaiRongliang ChenFuxiang ShenSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Weibin Du Rongdan Dai Rongliang Chen Fuxiang Shen Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review
description	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.
format	article
author	Weibin Du Rongdan Dai Rongliang Chen Fuxiang Shen
author_facet	Weibin Du Rongdan Dai Rongliang Chen Fuxiang Shen
author_sort	Weibin Du
title	Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review
title_short	Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review
title_full	Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review
title_fullStr	Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review
title_full_unstemmed	Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review
title_sort	rotation-hinged knee prosthesis for the treatment of charcot arthropathy: a case report and literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/a134255711774831bd147ca94bf79724
work_keys_str_mv	AT weibindu rotationhingedkneeprosthesisforthetreatmentofcharcotarthropathyacasereportandliteraturereview AT rongdandai rotationhingedkneeprosthesisforthetreatmentofcharcotarthropathyacasereportandliteraturereview AT rongliangchen rotationhingedkneeprosthesisforthetreatmentofcharcotarthropathyacasereportandliteraturereview AT fuxiangshen rotationhingedkneeprosthesisforthetreatmentofcharcotarthropathyacasereportandliteraturereview
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Rotation-hinged knee prosthesis for the treatment of Charcot arthropathy: a case report and literature review

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