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.