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Mid- to Long-Term Results of Total Knee Arthroplasty for Charcot Arthropathy of the Knee

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Abstract

Background

Total knee arthroplasty (TKA) for Charcot arthropathy of the knee is considered controversial because of its higher complication rate compared with that of TKA for osteoarthritis. In this study, we investigated the clinical outcomes, survival rates, and complications of primary TKA for Charcot arthropathy.

Methods

We conducted a retrospective analysis of nine patients (12 knees) with Charcot arthropathy who underwent TKA. The mean age of the patients was 63.9 ± 9.4 years (range, 52–83 years). The most frequent causative disease was diabetes mellitus (three patients). Patients’ clinical outcomes, including the 2011 Knee Society Score and the range of motion, were compared between preoperative and the most recent postoperative data. The 5- and 10-year survival rates for aseptic revision, revision due to infection, and complications were examined. The mean follow-up period was 7.3 ± 3.9 years (range, 3–14 years).

Results

The 2011 Knee Society Score and the knee flexion angle significantly improved after TKA surgery (P < 0.05). The 5-year survival rates for aseptic revision, revision due to infection, and complications were 100%, 91.7%, and 83.3%, respectively; the 10-year survival rates for these parameters were the same. One patient underwent revision for insert replacement due to periprosthetic infection, and the other patient had varus/valgus instability due to soft tissue loosening.

Conclusions

The mid- to long-term results of TKA for Charcot arthropathy were generally favorable. Our findings indicate that TKA may be a viable treatment option for Charcot arthropathy.

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Data Availability

Raw data were generated at Kobe University Graduate School of Medicine. Derived data supporting the findings of this study are available from the corresponding author Tomoyuki Matsumoto on request.

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Acknowledgements

We would like to thank Editage (www.editage.com) for English language editing.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

    Yuma Onoi, Tomoyuki Matsumoto, Naoki Nakano, Masanori Tsubosaka, Tomoyuki Kamenaga, Yuichi Kuroda, Shinya Hayashi & Ryosuke Kuroda

  2. Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan

    Kazunari Ishida

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  1. Yuma Onoi
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  2. Tomoyuki Matsumoto
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  3. Naoki Nakano
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  4. Masanori Tsubosaka
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Correspondence to Tomoyuki Matsumoto.

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Onoi, Y., Matsumoto, T., Nakano, N. et al. Mid- to Long-Term Results of Total Knee Arthroplasty for Charcot Arthropathy of the Knee. JOIO 58, 308–315 (2024). https://doi.org/10.1007/s43465-023-01094-z

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  • DOI: https://doi.org/10.1007/s43465-023-01094-z

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