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Fracture in an arthrodesed Charcot’s knee joint
  1. Sai Sabharish Reddy1,
  2. Abhishek Vaish1 and
  3. Raju Vaishya2
  1. 1Department of Orthopedics, Indraprastha Apollo Hospital, New Delhi, Delhi, India
  2. 2Department of Orthopaedic & Joint Replacement Surgery, Indraprastha Apollo Hospital, New Delhi, Delhi, India
  1. Correspondence to Dr Abhishek Vaish; drabhishekvaish{at}


Charcot’s joint is a type of neuro-arthropathy, where asymmetrical damage of the involved joint happens haphazardly, without following any described pattern. We present a rare case of Charcot’s joint involving the knee joint in an adult male following spina bifida. His knee joint was successfully fused after two surgeries. Later, he sustained a fracture through the arthrodesis after a fall, which we managed surgically. The fracture through the knee arthrodesis was managed surgically by an open reduction and internal fixation, using a 14-hole broad low contact dynamic compression locking plate with bone grafting. Union was achieved at the knee arthrodesis site in 6 months. Fracture through a fused knee requires surgical management. Re-arthrodesis was done using a stable fixation. Postoperative rehabilitation should include protected weight bearing with braces and splints until a sound bony union is achieved.

  • radiology (diagnostics)
  • trauma
  • orthopaedic and trauma surgery
  • neuromuscular disease

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  • Contributors SR wrote manuscript and did research. AV did concept, editing and research. RV did concept, research and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.