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https://hdl.handle.net/20.500.14094/0100486321

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メタデータID
0100486321
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Mid- to Long-Term Results of Total Knee Arthroplasty for Charcot Arthropathy of the Knee
著者
Onoi, Yuma ; Matsumoto, Tomoyuki ; Nakano, Naoki ; Tsubosaka, Masanori ; Kamenaga, Tomoyuki ; Kuroda, Yuichi ; Ishida, Kazunari ; Hayashi, Shinya ; Kuroda, Ryosuke
著者名
Onoi, Yuma
著者ID
A1443
研究者ID
1000050546588
ORCID
0000-0003-4587-0029
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3b2197de7ea329b7520e17560c007669
著者名
Matsumoto, Tomoyuki
松本, 知之
マツモト, トモユキ
所属機関名
医学研究科
著者ID
A3303
研究者ID
1000040884458
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=0b529c37018c4f0b520e17560c007669
著者名
Nakano, Naoki
中野, 直樹
ナカノ, ナオキ
所属機関名
医学部附属病院
著者名
Tsubosaka, Masanori
著者名
Kamenaga, Tomoyuki
著者名
Kuroda, Yuichi
著者名
Ishida, Kazunari
著者ID
A1470
研究者ID
1000020437487
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=920f996ace595775520e17560c007669
著者名
Hayashi, Shinya
林, 申也
ハヤシ, シンヤ
所属機関名
医学研究科
著者ID
A0783
研究者ID
1000080379362
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=f51cbfc82378ae63520e17560c007669
著者名
Kuroda, Ryosuke
黒田, 良祐
クロダ, リョウスケ
所属機関名
医学部附属病院
言語
English (英語)
収録物名
Indian Journal of Orthopaedics
巻(号)
58(3)
ページ
308-315
出版者
Springer Nature
刊行日
2024-03
公開日
2025-02-06
注記
Published online: 06 February 2024
抄録
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.
キーワード
Charcot arthropathy
Neuropathic arthropathy
Total knee arthroplasty
Survival rates
Constrained condylar prosthesis
Rotating hinge prosthesis
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature's AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s43465-023-01094-z
関連情報
DOI
https://doi.org/10.1007/s43465-023-01094-z
PMID
38425826