PubMed · 5780834
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R J Gore. 1969. Multiple Charcot's joints.. https://doi.org/10.1111/j.1532-5415.1969.tb01176.x
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The neuropathic joint is one of the most difficult management problems in orthopaedic practice. The surgeon is often referred the patient late in the course of the disease, when there has been marked joint destruction so that non-operative measures are not suitable. We report a case of a severely deformed neuropathic knee joint, for which an uncemented total knee replacement was performed. The rationale for use of this procedure instead of arthrodesis, and discussion of the condition follow.
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Cervical spinal cord injury compromises the ventilatory muscles and is associated with respiratory complications. Patients who are quadriplegics are also at increased risk of Charcot's arthropathy of the spine. The development of a large pleural effusion in quadriplegia further increases respiratory compromise. I present a case of Charcot's arthropathy of the spine causing a large pleural effusion that presented as respiratory distress in a quadriplegic. Pleurodesis was successful in preventing reaccumulation of the pleural effusion with a reduction in dyspnea.