23rd – 26th AUGUST, 2023
Presenting Author - Abhijit Sahu
Total knee arthroplasty in neuropathic Charcot joints is technically demanding. Caused by a
combination of sensory, motor and autonomic neuropathy, it was originally described as an
arthritic sequelae of neurosyphilis. The knee is one of the most frequently affected large joints
by the neuropathic process. The degenerative process, with gross deformity and destruction in
some cases, may lead to significant disability for the patient. Traditional management has usually
been conservative or arthrodesis, with limited success. Arthroplasty of a Charcot joint has
commonly been avoided at all costs. However, in the right patient, using the right technique &
instrumentation, arthroplasty can significantly improve the symptoms of a Charcot joint. This
paper explores the evidence surrounding the role of arthroplasty in the management of a Charcot
knee. We also would like to share our experience of treating Charcoat joint using total knee
replacement in two patients with a current follow up of two years and would be discussing the
complications encountered , how we managed them and got a successful outcome. Surgical
techniques are explored in an attempt to define the role of arthroplasty in the management of a
Charcot knee. I would like to conclude by saying total knee arthroplasty may be offered to a select
group of patients with end stage neuropathic arthropathy.
Asia Pacific Arthroplasty Society Incorporated