Babazadeh Sina, Stoney James D, Lim Keith, Choong Peter F M
Department of Orthopaedics, St. Vincent's Hospital, Melbourne, Australia;
Orthop Rev (Pavia). 2010 Sep 23;2(2):e17. doi: 10.4081/or.2010.e17.
The Charcot knee - or neuropathic arthropathy - presents a considerable challenge to the orthopaedic surgeon. Caused by a combination of sensory, motor and autonomic neuropathy, it was originally described as an arthritic sequelae of neurosyphilis. In today's western orthopaedics it is more often caused by diabetes. A Charcot knee is often symptomatically painful and unstable. 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, arthroplasty can significantly improve the symptoms of a Charcot joint. This article explores the evidence surrounding the role of arthroplasty in the management of a Charcot knee. Arthroplasty is compared to other forms of treatment and specific patient demographics and surgical techniques are explored in an attempt to define the role of arthroplasty in the management of a Charcot knee.
夏科氏关节病——即神经性关节病——给骨科医生带来了相当大的挑战。它由感觉、运动和自主神经病变共同引起，最初被描述为神经梅毒的关节炎后遗症。在当今西方骨科领域，它更常见的病因是糖尿病。夏科氏关节病通常有疼痛症状且不稳定。传统治疗方法通常是保守治疗或关节融合术，但成功率有限。人们通常不惜一切代价避免对夏科氏关节进行关节成形术。然而，对于合适的患者，采用正确的技术，关节成形术可以显著改善夏科氏关节的症状。本文探讨了关节成形术在夏科氏关节病治疗中作用的相关证据。将关节成形术与其他治疗方式进行比较，并探讨特定的患者特征和手术技术，以试图明确关节成形术在夏科氏关节病治疗中的作用。
