Kim Y H, Kim J S, Oh S W
Joint Replacement Centre of Korea, HaeMin General Hospital, Seoul.
J Bone Joint Surg Br. 2002 Mar;84(2):216-9. doi: 10.1302/0301-620x.84b2.12312.
We describe the results of total knee arthroplasty (TKA) undertaken for severe, neurosyphilitic Charcot arthropathy in ten patients (19 knees). A cemented condylar, constrained prosthesis was implanted in all but two knees. The mean follow-up was 5.2 years (5 to 6). The mean knee score before operation was 36.5 points (30 to 42) which improved to 76 points (58 to 90) after operation as judged by the Hospital for Special Surgery score. At final follow-up three knees (16%) had aseptic loosening which required salvage by an arthrodesis, six (31%) were functioning poorly and ten (53%) were satisfactory. We conclude that although Charcot arthropathy is not an absolute contraindication to total knee replacement, there is a high incidence of serious complications.
我们描述了对10例患者（19个膝关节）的重度神经梅毒型夏科氏关节病进行全膝关节置换术（TKA）的结果。除两例外，所有膝关节均植入了骨水泥固定的髁型限制性假体。平均随访时间为5.2年（5至6年）。根据特种外科医院评分，术前膝关节平均评分为36.5分（30至42分），术后提高到76分（58至90分）。在最后随访时，3个膝关节（16%）出现无菌性松动，需要通过关节融合术进行挽救，6个（31%）功能较差，10个（53%）情况令人满意。我们得出结论，虽然夏科氏关节病并非全膝关节置换的绝对禁忌证，但严重并发症的发生率很高。
