The Charcot Knee Arthropaty: The Diagnostic and Surgical Challenge. A Case of Syphilis Arthropaty and a Review of Literature

Document Type : CASE REPORT


1 Orthopedics and Traumatology Unit- Salvini Hospital ASST RHODENSE Garbagnate Milanese, Milan, Italy

2 Pneumology Unit- department of medicine Salvini Hospital ASST RHODENSE Garbagnate Milanese, Milan, Italy


The Charcot knee is a progressive, degenerative disease of the joint that may represent a diagnostic challenge; at
the moment, poorly controlled diabetes mellitus is the main cause of this condition. We describe here a case of a man
presenting with an end stage joint arthropathy who was diagnosed with neurosyphilis. Tabetic arthropathy is currently
a very rare disease, but in the past represented the main cause of joint arthropathy. Finally, we discussed the different
surgical options of Charcot arthropathy, our choice of megaprosthesis implant and the failure of such procedure mainly
due to patient’s unreliability to care leading to infective complications and peri-prosthesis fracture.
Level of evidence: IV


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