Long-Term Outcome of Total Knee Arthroplasty in Charcot Joint A 10-to 22-Year Follow-Up

被引:33
作者
Bae, Dae Kyung [1 ]
Song, Sang Jun [1 ]
Yoon, Kyoung Ho [1 ]
Noh, Jung Ho [2 ]
机构
[1] Kyung Hee Univ, Sch Med, Dept Orthoped Surg, Seoul 130702, South Korea
[2] Natl Police Hosp, Dept Orthoped Surg, Seoul, South Korea
关键词
total knee arthroplasty; Charcot joint; PATIENT; SYSTEM;
D O I
10.1016/j.arth.2009.05.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The results of 11 total knee arthroplasties in 9 patients with a Charcot joint secondary to neurosyphilis were reviewed. The mean age was 60.1 years, and follow-up averaged 12.3 years. Endomodel rotating hinge prostheses (Waldemar Link GMBH and Co, Hamburg, Germany) were implanted in all knees. The mean knee score increased from 44.9 before surgery to 95.0 at the final follow-up, and the mean function score increased from 45.0 before surgery to 93.6 at the final follow-up. Complications were noted in 3 knees, including 2 dislocations of the knee and 1 deep infection. The clinical results of total knee arthroplasty were satisfactory in most cases of Charcot joint. Rotating hinge prostheses are strongly recommended for use in Charcot joint. However, the procedure is technically demanding, and there were considerable complications.
引用
收藏
页码:1152 / 1156
页数:5
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