J Korean Orthop Assoc.  1990 Apr;25(2):467-476. 10.4055/jkoa.1990.25.2.467.

Total Knee Arthroplasty in Charcot's Joints

Abstract

Four total knee arthroplasties were performed in 3 patients with the diagnosis of classical Charcot's joints associated with syphilis during past 4 years from 1985 to 1988. All patients had positive reaction in serology test(VDRL, TPHA). We corrected the bone loss and severe joint instability with allograft or autogenous bone grafting and ligament balancing. The knee score was increased from preoperative 37 points to postoperative 87.3 points. We expect that total knee arthroplasty may be the alternative treatment to the conservative treatment or knee arthrodesis in Charcots joints.

Keyword

Tibial pilon fractures

MeSH Terms

Allografts
Arthrodesis
Arthropathy, Neurogenic*
Arthroplasty
Arthroplasty, Replacement, Knee*
Bone Transplantation
Diagnosis
Humans
Joint Instability
Knee
Ligaments
Syphilis
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